Active NPI
Stephanie Mauzer
- Physical Therapist
- Holland, MI
National Provider Identifier
1083592653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501304135
- Practice address
- 454 Baypark Dr Ste 10
Holland, MI 49424 - Phone
- (616) 537-6613
- Fax
- (616) 953-8926
- NPI assigned
- Aug 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501304135 | MI | Primary |
| Physical Therapist | 225100000X | 17235-24 | WI |
Addresses
Primary practice location
454 Baypark Dr Ste 10
Holland, MI 49424
Mailing address
PO Box 515
Boulder Junction, WI 54512-0515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
454 Baypark Dr
Suite 10
Holland, MI 49424-2037
Phone (616) 537-6613
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501304135 | MI | MD | Physical Therapist |
| 17235-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruther Health and Wellness, PLC | Physical Therapist | Current | Accepting new patients |
Locations
454 Bay Park Dr
Ste 10
Holland, MI 49424
Phone (616) 537-6613
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Holland, MI
- NPI 1720884455
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1083592653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 515",
"city": "BOULDER JUNCTION",
"state": "WI",
"postal_code": "545120515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 BAYPARK DR STE 10",
"city": "HOLLAND",
"state": "MI",
"postal_code": "49424",
"telephone_number": "616-537-6613",
"fax_number": "616-953-8926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUZER",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-22",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501304135",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "17235-24",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.