Active NPI
Stacie Rayman, MSPT
- Physical Therapist
- Grandville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501007465
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advent Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Alliance Physical Therapy Group LLC | Physical Therapist | Current | Accepting new patients |
| Advent Rehabilitation, LLC | Physical Therapist | Current | 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.
-
dba Advent Physical Therapy
- Physical Therapist
- Grand Rapids, MI
- NPI 1780639658
-
dba Armor Physical Therapy
- Physical Therapist
- Holland, MI
- NPI 1649216144
-
dba Advent Physical Therapy
- Physical Therapist
- Grand Rapids, MI
- NPI 1437923729
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.