Active NPI
Shayna Michele Budres, D.P.T.
- Physical Therapist
- Greenville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5510102696
- Practice address
- 2425 W Washington St
Suite B
Greenville, MI 48838 - Phone
- (616) 225-2325
- Fax
- (616) 754-7888
- NPI assigned
- Aug 10, 2007
- Sex
- Female
- 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 | 5510102696 | MI | Primary |
Addresses
Primary practice location
2425 W Washington St
Suite B
Greenville, MI 48838
Mailing address
PO Box 30516
Dept 5300
Lansing, MI 48909
Phone (616) 754-7040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30435 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2679020 | Medicaid | MI |
Other names 1
- Shayna Garfield
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 W Fair Ave
Marquette, MI 49855-5406
Phone (906) 225-1321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5510102696 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Surgery Associates of Marquette PC | Current | Accepting new patients | |
| Hulst Jepsen Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Orthopaedic Surgery Associates of Marquette PC | Current | Accepting new patients | |
| Kimberlee J Odonald PT PC | Past | Accepting new patients |
Locations
2120 43rd St SE
Ste 100
Grand Rapids, MI 49508
Phone (616) 281-1144
2425 W Washington St
#B
Greenville, MI 48838
Phone (616) 225-2325
1414 W Fair Ave
Ste 190
Marquette, MI 49855
Phone (906) 225-1321
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Marquette, MI
- NPI 1730199845
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1609957760
-
- Durable Medical Equipment & Medical Supplies
- Marquette, MI
- NPI 1518466143
-
- Physical Therapy Clinic/Center
- Greenville, MI
- NPI 1689731374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1275725533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30516",
"address_2": "DEPT 5300",
"city": "LANSING",
"state": "MI",
"postal_code": "48909",
"telephone_number": "616-754-7040",
"fax_number": "616-754-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 W WASHINGTON ST",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "48838",
"telephone_number": "616-225-2325",
"fax_number": "616-754-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDRES",
"first_name": "SHAYNA",
"middle_name": "MICHELE",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-10",
"last_updated": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5510102696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "30435",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2679020",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHAYNA",
"last_name": "GARFIELD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.