David Charles Perrin, MS PT, ATC, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010589 Issued in MI

Practice address

1935 Sandburr Dr
Jenison, MI 49428-9463

Phone

(616) 667-2785

Fax

(616) 608-7786

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Cooperative Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Jenison, MI
  • NPI 1538499942
  NPD (past) Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1154478782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 SANDBURR DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289463",
            "telephone_number": "616-667-2785",
            "fax_number": "616-608-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 SANDBURR DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289463",
            "telephone_number": "616-667-2785",
            "fax_number": "616-608-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MS PT, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010589",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alec James Papes, DC
• Patchwork Therapy Services
• Patient One Care PLLC
• Elizabeth Payne
• Heather Pentecost
• Perspectives of Troy, PC
• Hannah Pettinga, M.A. CCC-SLP
• Clara Phillips
• Brynne Alysse Pieters, OTRL
• Mark Lamarr Powell, DDS MSD

• Physical Therapist in Jenison, MI
• Providers in Jenison, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.