Jamie Phillips, PT, DPT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501303333 Issued in MI

Practice address

566 100TH St SW
Byron Center, MI 49315-8498

Phone

(616) 239-8466

NPI assigned

Dec 21, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Ghost Rehab and Performance PC

  • Physical Therapist
  • Byron Center, MI
  • NPI 1780492454
  NPD Authorized official

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

{
    "created_epoch": "1734739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1285442285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 100TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158498",
            "telephone_number": "616-239-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 100TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158498",
            "telephone_number": "616-239-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JAMIE",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-21",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Oetman, M.D.
• Stella Zichat-Asabat Okoh, AGNP
• James Omalley, NP
• Lisa Orange
• Zalak Patel, RPH
• Physiotherapy Assoicates, Inc.
• Stacey Anne Pinckney
• Robert John Pipe, RPH
• Timothy G Pipe, PA
• Aubrey Poeller

• Physical Therapist in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.