Haley J Slagboom, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501302977 Issued in FM

Practice address

11160 WJ Presley Pkwy Ste 103
Allendale, MI 49401-8075

Phone

(616) 895-4050

Fax

(616) 965-2475

NPI assigned

Apr 28, 2020

Last updated

Aug 8, 2025By the provider in NPPES

Sex

Female

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

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

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Physical Therapist

  Medicare reassignment NPD
• Ivyrehab Northern PT, LLC

  • Physical Therapy Clinic/Center
  • Sparta, MI
  • NPI 1972592525
  NPD (past)

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1174144315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WJ PRESLEY PKWY STE 103",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018075",
            "telephone_number": "616-895-4050",
            "fax_number": "616-965-2475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1264 Plainfield Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495054929",
            "country_code": "US",
            "telephone_number": "616-888-7993",
            "fax_number": "616-432-2924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 E Beltline Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495064336",
            "country_code": "US",
            "telephone_number": "989-312-4462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAGBOOM",
        "first_name": "HALEY",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FM",
            "license": "5501302977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron James Schulz, D.C.
• Jordan Kyle Seeger
• Sensory Source, LLC (Sensory Learning Center of West Michigan)
• Keegan Douglas Shannon, PT, DPT
• Natalie Lorraine Siwula, PA
• Jessi Smith
• Solace Counseling Services
• Sonder Center for Neurodevelopment LLC
• Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
• Spectrum Health Primary Care Partners

• Physical Therapist in Allendale, MI
• Providers in Allendale, 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 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.