Active NPI
Christopher Patrick McCloskey, DPT
- Physical Therapist
- Caledonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016632
- Practice address
- 9028 N Rodgers CT SE
Suite J
Caledonia, MI 49316-9786 - Phone
- (616) 891-0600
- Fax
- (616) 891-0660
- NPI assigned
- Aug 28, 2012
- Last updated
- Apr 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9941 | AZ | |
| Physical Therapist | 225100000X | 5501016632 | MI | Primary |
Addresses
Primary practice location
9028 N Rodgers CT SE
Suite J
Caledonia, MI 49316-9786
Mailing address
2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508-3772
Phone (616) 281-1144
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508-3712
Phone (616) 281-1144
5136 Cascade Rd SE
Suite 1C
Grand Rapids, MI 49546-3728
Phone (616) 301-1215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9941 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hulst Jepsen Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Hulst Jepsen Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Swing Orthopedic and Sports Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
9028 N Rodgers Ct SE
Ste J
Caledonia, MI 49316
Phone (616) 890-0600
2120 43rd St SE
Ste 100
Grand Rapids, MI 49508
Phone (616) 281-1144
4761 Lake Michigan Dr NW
Ste A
Grand Rapids, MI 49534
Phone (616) 608-9978
5136 Cascade Rd SE
Ste 1C
Grand Rapids, MI 49546
Phone (616) 301-1215
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1609957760
-
- Physical Therapist
- Caledonia, MI
- NPI 1558616441
-
- Physical Therapist
- Surprise, AZ
- NPI 1568420743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1144578964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 43RD ST SE",
"address_2": "SUITE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495083772",
"telephone_number": "616-281-1144",
"fax_number": "616-281-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9028 N RODGERS CT SE",
"address_2": "SUITE J",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "493169786",
"telephone_number": "616-891-0600",
"fax_number": "616-891-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOSKEY",
"first_name": "CHRISTOPHER",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "9941",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caledonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.