NPIMap

Organization Active NPI

Purple Mountain Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1245834936
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PURPLE MOUNTAIN PHYSICAL THERAPY, LLC
Practice address
847 Parchment Dr SE Ste 101
Grand Rapids, MI 49546-2303
Phone
(616) 516-4334
Fax
(616) 333-5311
NPI assigned
Nov 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Dr. Maureen Blanchfield-O'Keefe, DPTNPI 1902025737
Title
Physical Therapist
Phone
(616) 516-4334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

847 Parchment Dr SE Ste 101
Grand Rapids, MI 49546-2303

Mailing address

847 Parchment Dr SE Ste 101
Grand Rapids, MI 49546-2303
Phone (616) 516-4334

National Provider Directory

National Provider Directory

Locations

847 Parchment Dr SE
Ste 101
Grand Rapids, MI 49546
Phone (616) 516-4334

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1245834936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462303",
            "telephone_number": "616-516-4334",
            "fax_number": "616-333-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462303",
            "telephone_number": "616-516-4334",
            "fax_number": "616-333-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE MOUNTAIN PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "BLANCHFIELD-O'KEEFE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "616-516-4334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Oct 6, 2021; 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.