Brooke Ashley Meinema, DPT, FAFS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017370 Issued in MI

Practice address

18000 Cove St Ste 202
Spring Lake, MI 49456

Phone

(616) 847-1280

Fax

(616) 847-1290

NPI assigned

Sep 17, 2015

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

Other names 1

• Ms. Brooke Ashley Vandermeer Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoreline Sport and Spine PLLCGroup PAC ID 4284673575, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Shoreline Sport & Spine PLLC

  • Physical Therapist
  • Spring Lake, MI
  • NPI 1225040694
  Medicare reassignment Care Compare group NPD
• Hanneken Physical Therapy LLC

  • Physical Therapist
  • Holland, MI
  • NPI 1528080629
  Medicare reassignment NPD
• Shoreline Sport & Spine PLLC

  • Physical Therapist
  • Muskegon, MI
  • NPI 1619787959
  NPD

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1245609452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 COVE ST STE 202",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561383",
            "telephone_number": "616-847-1280",
            "fax_number": "616-847-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 COVE ST STE 202",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "49456",
            "telephone_number": "616-847-1280",
            "fax_number": "616-847-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINEMA",
        "first_name": "BROOKE",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "DPT, FAFS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "VANDERMEER",
            "middle_name": "ASHLEY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick Scott McGettigan, PT, DPT
• Suzanne M. McGill, SLP
• Stacey McManus, CEP
• Cynthia Lee McNerlin, ANP-BC
• Jessica J Meengs, PT, DPT
• Mi Floortime LLC
• Michigan Medical PC
• Michigan Medical, PC.
• Dean T Millar, PT
• Ashley Moblo

• Physical Therapist in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.