Active NPI
Jukka Olavi Pietila, PT
- Physical Therapist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501006211
- Practice address
- 4085 Burton St SE Ste 100
Grand Rapids, MI 49546-2444 - Phone
- (616) 233-3599
- NPI assigned
- Jun 16, 2006
- Last updated
- Jan 21, 2025
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 5501006211 | MI | Primary |
Addresses
Primary practice location
4085 Burton St SE Ste 100
Grand Rapids, MI 49546-2444
Mailing address
61 Commerce Ave SW
Grand Rapids, MI 49503-4124
Phone (616) 940-0660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650D115990 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4085 Burton St SE
Suite 100
Grand Rapids, MI 49546-2444
Phone (616) 233-3599
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 70.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ompt Specialists, Inc. | Physical Therapist | Current | Accepting new patients |
| Advent Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Advent Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
6745 Fulton St E
Ste D
Ada, MI 49301
Phone (616) 274-1014
245 Cherry St SE
Ste 102
Grand Rapids, MI 49503
Phone (616) 201-3909
4085 Burton St SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 233-3599
399 Oaks Xing
Plainwell, MI 49080
Phone (269) 222-5400
1080 Kirts Blvd
Ste 300
Troy, MI 48084
4600 Investment Dr
Ste 190
Troy, MI 48098
Phone (242) 353-1234
Organizations & group practices 3
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.
-
dba Advent Physical Therapy
- Physical Therapist
- Grand Rapids, MI
- NPI 1780639658
-
- Physical Therapist
- Troy, MI
- NPI 1205865961
-
dba Advent Physical Therapy
- Physical Therapist
- Grand Rapids, MI
- NPI 1437923729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1245274547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 COMMERCE AVE SW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034124",
"telephone_number": "616-940-0660",
"fax_number": "616-940-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4085 BURTON ST SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462444",
"telephone_number": "616-233-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETILA",
"first_name": "JUKKA",
"middle_name": "OLAVI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501006211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "650D115990",
"state": "MI"
}
],
"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 Jan 21, 2025; 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.