Individual provider Active NPI

Bryan Hemingway, MPT

  • Physical Therapist
  • Middleville, MI
National Provider Identifier
1114006863
Registry record updated Jan 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010312 Issued in MI
Practice address
4525 N M 37 Hwy
Suite B
Middleville, MI 49333-8166
Phone
(269) 795-4230
Fax
(269) 795-4191
NPI assigned
Nov 3, 2006
Last updated
Jan 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2011

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 5501010312 MI Primary

Addresses

Primary practice location

4525 N M 37 Hwy
Suite B
Middleville, MI 49333-8166

Mailing address

4525 N M 37 Hwy
Suite B
Middleville, MI 49333-8166
Phone (269) 795-4230

Other identifiers 1

IdentifierTypeStateIssuer
650Z810240OtherMIBC/BS

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
First Rehab Physical Therapy P.C. Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295049600000",
    "number": "1114006863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 N M 37 HWY",
            "address_2": "SUITE B",
            "city": "MIDDLEVILLE",
            "state": "MI",
            "postal_code": "493338166",
            "telephone_number": "269-795-4230",
            "fax_number": "269-795-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 N M 37 HWY",
            "address_2": "SUITE B",
            "city": "MIDDLEVILLE",
            "state": "MI",
            "postal_code": "493338166",
            "telephone_number": "269-795-4230",
            "fax_number": "269-795-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMINGWAY",
        "first_name": "BRYAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "650Z810240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2011; 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.