Douglas Essenberg, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501090550 Issued in MI

Practice address

1423 60TH St SE
Kentwood, MI 49508-7065

Phone

(616) 455-3535

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentwood Physical Therapy, PLLC 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kentwood Physical Therapy, PLLC

  • Physical Therapist
  • Kentwood, MI
  • NPI 1134331689

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Health Motion Physical Therapy Services Inc

  • Physical Therapy Clinic/Center
  • Kentwood, MI
  • NPI 1992817316

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1154428472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 GRANITE CT",
            "city": "MIDDLEVILLE",
            "state": "MI",
            "postal_code": "493338264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 60TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495087065",
            "telephone_number": "616-455-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSENBERG",
        "first_name": "DOUGLAS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501090550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystina Emperor
• Empowering Pathways LLC
• Joel E Ensminger, O.D.
• Alondra Patricia Erazo
• Roger Lynn Erickson, PH.D.
• Jason Eric Essenberg, D.O.
• Essential Aroma MMT, LLC
• Essentialcare LLC
• Eyemart Express
• Eyemart Express LLC

• All providers in Kentwood, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.

Verify at the official NPI Registry.