NPIMap

Organization Active NPI

Great Lakes Hand Therapy PC

Doing business as Hand Therapy of Michigan

  • Occupational Therapist
  • Portage, MI
National Provider Identifier
1073037313
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
GREAT LAKES HAND THERAPY PC
Doing business as
Hand Therapy of Michigan
Practice address
8175 Creekside Dr Ste 100
Portage, MI 49024-5370
Phone
(269) 321-3011
Fax
(269) 321-3014
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Bryan Herder, OTNPI 1316169303
Title
Owner
Phone
(269) 979-0874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

8175 Creekside Dr Ste 100
Portage, MI 49024-5370

Mailing address

3600 Capital Ave SW
Battle Creek, MI 49015-9393
Phone (269) 979-0874

Other names 1

  • Hand Therapy of Michigan Doing business as

National Provider Directory

National Provider Directory

Locations

365 N Willowbrook Rd
Coldwater, MI 49036
Phone (269) 321-0929

3200 W Centre Ave
Ste 202
Portage, MI 49024
Phone (269) 321-0929

4855 W Centre Ave
Ste D
Portage, MI 49024
Phone (269) 544-1970

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1073037313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159393",
            "telephone_number": "269-979-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8175 CREEKSIDE DR STE 100",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245370",
            "telephone_number": "269-321-3011",
            "fax_number": "269-321-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES HAND THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "HERDER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-979-0874",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hand Therapy of Michigan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hand Therapy of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.