Organization Active NPI

Nephew Services, LLC

Doing business as Nephew Physical Therapy

  • Physical Therapist
  • Holland, MI
National Provider Identifier
1255372066
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010233 Issued in MI
Legal business name
NEPHEW SERVICES, LLC
Doing business as
Nephew Physical Therapy
Practice address
91 Douglas Ave
Suite 140
Holland, MI 49424-2188
Phone
(616) 283-1489
Fax
(616) 738-1489
NPI assigned
Jun 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Melissa Marie Nephew, MSPT
Title
Owner, Physical Therapist
Phone
(616) 283-1489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501010233 MI Primary

Addresses

Primary practice location

91 Douglas Ave
Suite 140
Holland, MI 49424-2188

Mailing address

2905 Willow Terrace CT
Holland, MI 49424-7919
Phone (616) 283-1489

Other names 1

  • Nephew Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

91 Douglas Ave
Ste 140
Holland, MI 49424
Phone (616) 228-3148

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255372066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 WILLOW TERRACE CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247919",
            "telephone_number": "616-283-1489",
            "fax_number": "616-738-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 DOUGLAS AVE",
            "address_2": "SUITE 140",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242188",
            "telephone_number": "616-283-1489",
            "fax_number": "616-738-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHEW SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEPHEW",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "616-283-1489",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nephew Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.