Active NPI
Alexis R Orford, PTA
- Physical Therapy Assistant
- Newaygo, MI
National Provider Identifier
1285102996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502002716
- Practice address
- 585 Fremont St
Newaygo, MI 49337-9766 - Phone
- (231) 652-3869
- NPI assigned
- Nov 12, 2018
- 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 Therapy Assistant | 225200000X | 5502002716 | MI | Primary |
Addresses
Primary practice location
585 Fremont St
Newaygo, MI 49337-9766
Mailing address
585 Fremont St
Newaygo, MI 49337-9766
Phone (231) 652-3869
Other practice location 1
1712 Holton Rd Ste B
Muskegon, MI 49445-3408
Phone (231) 719-1921
Other practice location 2
854 Washington Ave Ste 200
Holland, MI 49423-7143
Phone (616) 392-9430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502002716 | MI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1285102996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 FREMONT ST",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "493379766",
"telephone_number": "231-652-3869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 FREMONT ST",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "493379766",
"telephone_number": "231-652-3869"
}
],
"practiceLocations": [
{
"address_1": "1712 Holton Rd Ste B",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494453408",
"country_code": "US",
"telephone_number": "231-719-1921",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "854 Washington Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "MI",
"postal_code": "494237143",
"country_code": "US",
"telephone_number": "616-392-9430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORFORD",
"first_name": "ALEXIS",
"middle_name": "R",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-12",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502002716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newaygo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.