Jessica Kalumbula, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011209 Issued in MI

Practice address

1159 Beechwood St NE
Grand Rapids, MI 49505

Phone

(616) 447-8739

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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.

• Ambulatory United

  • Surgery Physician
  • Greenville, MI
  • NPI 1033440565
  NPD (past)
• West Michigan Heart

  • Cardiovascular Disease Physician
  • Grand Rapids, MI
  • NPI 1174504021
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295828788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 BEECHWOOD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49505",
            "telephone_number": "616-447-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 BEECHWOOD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49505",
            "telephone_number": "616-447-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALUMBULA",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nishant Kalra, MD
• Heidi Christine Kaltenbacher, MSW
• Michelle Le Kaltenberg
• Cheryl A Kaltz, OTR
• Pollianna Sue Kaltz
• Kizombo Lambert Kalumbula, PH.D. (C)
• Ashley Eve Kamann, O.D.
• Sharat Sreenivas Kamath
• Patrick Mugi Kamau, THERAPIST
• Sarah Elizabeth Kamba, LMSW

• All providers in Grand Rapids, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.