Organization Active NPI

Step Forward Wellness LLC

  • Physical Therapy Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1255935441
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
STEP FORWARD WELLNESS LLC
Practice address
401 Hall St SW Ste 112E
Grand Rapids, MI 49503-6500
Phone
(734) 646-4221
NPI assigned
Nov 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Dr. Brandon Yuenger, PT, DPT, CIDNNPI 1831438670
Title
Owner
Phone
(734) 646-4221

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

401 Hall St SW Ste 112E
Grand Rapids, MI 49503-6500

Mailing address

401 Hall St SW Ste 112E
Grand Rapids, MI 49503-6500
Phone (734) 646-4221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230221000759 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6305218348 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

401 Hall St SW
Ste 112E
Grand Rapids, MI 49503
Phone (616) 275-4846

401 Hall St SW
Ste 185M
Grand Rapids, MI 49503
Phone (734) 646-4221

401 Hall St SW
Ste 112
Grand Rapids, MI 49503
Phone (989) 507-4457

Practitioners & affiliated clinicians

Practitioners 1

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": "1606521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1255935441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 112E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495036500",
            "telephone_number": "734-646-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 112E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495036500",
            "telephone_number": "734-646-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP FORWARD WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-28",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "YUENGER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-646-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CIDN"
    },
    "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 Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.