Individual provider Active NPI

Stacie Rayman, MSPT

  • Physical Therapist
  • Grandville, MI
National Provider Identifier
1083826887
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501007465 Issued in MI
Practice address
3380 44TH St SW
Grandville, MI 49418-2461
Phone
(616) 233-3591
Fax
(616) 534-0807
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501007465 MI Primary

Addresses

Primary practice location

3380 44TH St SW
Grandville, MI 49418-2461

Mailing address

1289 W. M-89
Plainwell, MI 49080
Phone (269) 685-2307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000628 MI Practitioner - Physical Therapist in Private Practice 1850560145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advent Rehabilitation, LLCGroup PAC ID 9537070545, 57 clinicians

Practice addresses (Care Compare)

3380 44TH St SW
Grandville, MI 49418-2461
Phone (616) 233-3591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advent Rehabilitation, LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Alliance Physical Therapy Group LLC Physical Therapist CurrentSince Dec 6, 2010 Accepting new patients
Advent Rehabilitation, LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients

Locations

6745 Fulton St E
Ste D
Ada, MI 49301
Phone (616) 274-1014

607 Dewey Ave NW
Ste 300
Grand Rapids, MI 49504
Phone (253) 332-3398

3380 44th St SW
Grandville, MI 49418
Phone (616) 685-8250

601 Michigan Ave
Ste 220
Holland, MI 49423
Phone (616) 355-4284

3686 32nd Ave
Ste 400
Hudsonville, MI 49426
Phone (616) 377-1010

390 Oaks Xing
Ste A
Plainwell, MI 49080
Phone (269) 685-9640

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1083826887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 W. M-89",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "49080",
            "telephone_number": "269-685-2307",
            "fax_number": "269-685-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 44TH ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182461",
            "telephone_number": "616-233-3591",
            "fax_number": "616-534-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMAN",
        "first_name": "STACIE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.

Verify at the official NPI Registry.