Active NPI
Craig Edward Stasio, P.T.
- Physical Therapist
- Zeeland, MI
National Provider Identifier
1316044647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501012065
- Practice address
- 8516 Homestead Dr Ste 107
Zeeland, MI 49464-9226 - Phone
- (616) 741-9555
- Fax
- (616) 741-9559
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- 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 | 5501012065 | MI | Primary |
Addresses
Primary practice location
8516 Homestead Dr Ste 107
Zeeland, MI 49464-9226
Mailing address
8516 Homestead Dr Ste 107
Zeeland, MI 49464-9226
Phone (616) 741-9555
Other practice location 1
730 Chicago Dr
Holland, MI 49423-3004
Phone (616) 796-6781
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Motion Physical Therapy Services Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Kentwood, MI
- NPI 1992817316
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1316044647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8516 HOMESTEAD DR STE 107",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494649226",
"telephone_number": "616-741-9555",
"fax_number": "616-741-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8516 HOMESTEAD DR STE 107",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494649226",
"telephone_number": "616-741-9555",
"fax_number": "616-741-9559"
}
],
"practiceLocations": [
{
"address_1": "730 Chicago Dr",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "MI",
"postal_code": "494233004",
"country_code": "US",
"telephone_number": "616-796-6781",
"fax_number": "616-796-6782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STASIO",
"first_name": "CRAIG",
"middle_name": "EDWARD",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501012065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zeeland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.