Stephen Ray Gillhespy
Individual provider Active NPI Physical Therapist · Sparta, MI
NPI 1083562532 · NPPES record last updated Mar 19, 2026
Key facts
- NPI
- 1083562532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501019357 (MI)
- Practice address
- 31 Ida Red Ave
Sparta, MI 49345-1277 - Phone
- (616) 887-8152
- NPI assigned
- Mar 19, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Boston, MA 02241
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260328000336 | MI | Practitioner - Physical Therapist in Private Practice | 8628553500 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019357 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| Ivyrehab Northern PT, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501019357 | MI | Yes |
Addresses
Primary practice location
31 Ida Red Ave
Sparta, MI 49345-1277
Mailing address
31 Ida Red Ave
Sparta, MI 49345-1277
Phone (616) 887-8152
Other providers in Sparta, MI
- Freeland Chiropractic Center P.C.
- George David Freeland
- Heather Anne Frick
- Elizabeth A Galloway
- Minnette Kathleen Gamble
- Matthew B Goodfellow
- Nikki Kae Grindle
- Sydney Hardy
- David Ryan Harkema
- Harry L Hadley Jr DC
All providers in Sparta, 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 Mar 19, 2026. 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.