Individual provider Active NPI

Jeffrey C Paschall, DPT

  • Physical Therapist
  • Allendale, MI
National Provider Identifier
1174756001
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303408 Issued in MI
Practice address
11301 Commerce Dr Ste B
Allendale, MI 49401-8200
Phone
(616) 895-4770
NPI assigned
Aug 26, 2009
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501303408 MI Primary
Orthopedic Physical Therapist 2251X0800X PT32184 FL

Addresses

Primary practice location

11301 Commerce Dr Ste B
Allendale, MI 49401-8200

Mailing address

11775 Restful Way
Allendale, MI 49401-7445
Phone (931) 980-8521

Other practice location 1

PO Box 419885
Boston, MA 02241-9885
Phone (914) 294-4050

Other practice location 2

11160 Wj Presley Pkwy Ste 103
Allendale, MI 49401-8075
Phone (616) 895-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260605001834 MI Practitioner - Physical Therapist in Private Practice 8729559265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Michigan LLCGroup PAC ID 6901165893, 156 clinicians

Practice addresses (Care Compare)

1264 Plainfield Ave NE
Grand Rapids, MI 49505-4929
Phone (616) 888-7993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501303408MIMDPhysical Therapist
PT32184FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
P3 Physical Therapy LLC Current Accepting new patients
Physiotherapy Associates Inc PastSince Dec 8, 2024 Accepting new patients
Physiotherapy Associates Inc PastSince Dec 8, 2024 Accepting new patients
Ivyrehab Northern PT, LLC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1174756001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11775 RESTFUL WAY",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494017445",
            "telephone_number": "931-980-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 COMMERCE DR STE B",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018200",
            "telephone_number": "616-895-4770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 419885",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022419885",
            "country_code": "US",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11160 Wj Presley Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Allendale",
            "state": "MI",
            "postal_code": "494018075",
            "country_code": "US",
            "telephone_number": "616-895-4050",
            "fax_number": "616-965-2475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASCHALL",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-26",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303408",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT32184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.