Individual provider Active NPI

Nicole Beemer, PT

  • Physical Therapist
  • Hastings, MI
National Provider Identifier
1093374191
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019146 Issued in MI
Practice address
2169 W M 43 Hwy Ste a
Hastings, MI 49058-8578
Phone
(269) 309-1090
Fax
(269) 309-1092
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 5501019146 MI Primary

Addresses

Primary practice location

2169 W M 43 Hwy Ste a
Hastings, MI 49058-8578

Mailing address

PO Box 218
Middleville, MI 49333-0218
Phone (269) 309-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Free Bed Rehabilitation Hospital CurrentSince Sep 16, 2024 Accepting new patients
Mary Free Bed Rehabilitation Hospital CurrentSince Sep 16, 2024 Accepting new patients
1St Physical Therapy Inc Physical Therapist PastSince May 1, 2021 Accepting new patients

Locations

235 Wealthy St SE
Grand Rapids, MI 49503
Phone (616) 242-0422

5722 Metro Way SW
Ste B
Wyoming, MI 49519
Phone (616) 252-3000

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1093374191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "MIDDLEVILLE",
            "state": "MI",
            "postal_code": "493330218",
            "telephone_number": "269-309-1090",
            "fax_number": "269-309-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 W M 43 HWY STE A",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490588578",
            "telephone_number": "269-309-1090",
            "fax_number": "269-309-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEMER",
        "first_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.