Mark Alan Carey, DPT
Individual provider Active NPI Physical Therapist · Wyoming, MI
NPI 1073765285 · NPPES record last updated Apr 19, 2013
Key facts
- NPI
- 1073765285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501014084 (MI)
- Practice address
- 5570 Wilson Ave SW
Suite a
Wyoming, MI 49418-8867 - Phone
- (616) 855-1495
- Fax
- (616) 855-1496
- NPI assigned
- Oct 21, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hulst Jepsen Physical Therapy Inc
Practice addresses (Care Compare)
2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508-3712
Phone (616) 281-1144
5819 Balsam Dr
Hudsonville, MI 49426-1104
Phone (616) 209-5435
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081205000832 | MI | Practitioner - Physical Therapist in Private Practice | 1951462175 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hulst Jepsen Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
| Achieve Physical Therapy and Sports Rehab, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
4761 Lake Michigan Dr NW
Ste A
Grand Rapids, MI 49534
Phone (616) 608-9978
2120 43rd St SE
Ste 100
Grand Rapids, MI 49508
Phone (616) 281-1144
5819 Balsam Dr
Hudsonville, MI 49426
Phone (616) 209-5435
5570 Wilson Ave SW
Ste A
Wyoming, MI 49418
Phone (616) 594-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501014084 | MI | Yes |
Addresses
Primary practice location
5570 Wilson Ave SW
Suite a
Wyoming, MI 49418-8867
Mailing address
2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508-3772
Phone (616) 281-1144
Other providers in Wyoming, MI
- Clarissa Lynn Capel
- Amanda Caponigro
- Pamela Sue Cappella
- Care One Home Health Services, Inc.
- Mechon C Carew
- Heidi Carlson
- Olivia Grace Carpenter
- Jack Neerken Carr
- Cesly Carrillo-Lopez
- Jordynn Carrington
All providers in Wyoming, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.