Individual provider Active NPI

Nicholas Friedli

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1205748936
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501304728 Issued in MI
Practice address
345 Fuller Ave NE
Grand Rapids, MI 49503-3675
Phone
(616) 608-8938
NPI assigned
Sep 18, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501304728 MI Primary

Addresses

Primary practice location

345 Fuller Ave NE
Grand Rapids, MI 49503-3675

Mailing address

7199 Kalamazoo Ave SE Ste 234
Caledonia, MI 49316-7362
Phone (616) 608-9979

Other practice location 1

175 Marcell Dr NE
Rockford, MI 49341-1365
Phone (616) 866-0141

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

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1205748936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7199 KALAMAZOO AVE SE STE 234",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167362",
            "telephone_number": "616-608-9979",
            "fax_number": "616-608-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 FULLER AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033675",
            "telephone_number": "616-608-8938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Marcell Dr NE",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "MI",
            "postal_code": "493411365",
            "country_code": "US",
            "telephone_number": "616-866-0141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDLI",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501304728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.