Active NPI
Nicole Beemer, PT
- Physical Therapist
- Hastings, MI
National Provider Identifier
1093374191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019146
- 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
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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Free Bed Rehabilitation Hospital | Current | Accepting new patients | |
| Mary Free Bed Rehabilitation Hospital | Current | Accepting new patients | |
| 1St Physical Therapy Inc | Physical Therapist | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1053641589
-
- Rehabilitation Hospital
- Grand Rapids, MI
- NPI 1730133463
-
- Physical Therapist
- Middleville, MI
- NPI 1851857882
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.