Active NPI
Andrew Gerlach, PT, DPT
- Physical Therapy Clinic/Center
- Spring Lake, MI
National Provider Identifier
1184376402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 5501016926
- Practice address
- 17753 Hiawatha Dr
Spring Lake, MI 49456-9020 - Phone
- (517) 449-0560
- NPI assigned
- Jan 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 5501016926 | MI | Primary |
Addresses
Primary practice location
17753 Hiawatha Dr
Spring Lake, MI 49456-9020
Mailing address
17753 Hiawatha Dr
Spring Lake, MI 49456-9020
Phone (517) 449-0560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501016926 | MI | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1184376402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17753 HIAWATHA DR",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494569020",
"telephone_number": "517-449-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17753 HIAWATHA DR",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494569020",
"telephone_number": "517-449-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERLACH",
"first_name": "ANDREW",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-19",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MI",
"license": "5501016926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.