NPIMap

Individual provider Active NPI

James Peter Vanhuisen, DPT

  • Physical Therapist
  • Grant, MI
National Provider Identifier
1144526302
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015029 Issued in MI
Practice address
17615 W Moore
Grant, MI 49327-9408
Phone
(231) 834-0208
Fax
(231) 834-0223
NPI assigned
Feb 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 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 5501015029 MI Primary

Addresses

Primary practice location

17615 W Moore
Grant, MI 49327-9408

Mailing address

17615 W Moore
PO Box 518
Grant, MI 49327-9408
Phone (231) 834-0208

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501015029MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Northern PT, LLC Past Accepting new patients
Northern Physical Therapy PC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1144526302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17615 W MOORE",
            "address_2": "PO BOX 518",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493279408",
            "telephone_number": "231-834-0208",
            "fax_number": "231-834-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17615 W MOORE",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493279408",
            "telephone_number": "231-834-0208",
            "fax_number": "231-834-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHUISEN",
        "first_name": "JAMES",
        "middle_name": "PETER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.