Med1

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501011266 Issued in MI

Legal business name

MED1

Practice address

1140 Monroe Ave NW
Suite 150
Grand Rapids, MI 49503-1055

Phone

(616) 459-6331

NPI assigned

Jun 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary Alice Ehrlich, RN,BSN,MS

Title

Executive Vice President

Phone

(616) 459-6331

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1053570499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 MONROE AVE NW",
            "address_2": "SUITE 150",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031055",
            "telephone_number": "616-459-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MONROE AVE NW",
            "address_2": "SUITE 150",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031055",
            "telephone_number": "616-459-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED1",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "MARY ALICE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "616-459-6331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN,MS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501011266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonnie Meadows
• Olivia Cassie Means, MD
• Kent Measell
• Mecas Angels
• Med Motion Transport LLC
• Heather Medema, PA-C
• Megan Medendorp, PA-C
• Ashley Elizabeth Medes, B.S.
• Medexpress Urgent Care, PC - Michigan
• Natalie Medic

• Physical Therapy Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.