Individual provider Active NPI

Maddison Grace Urbain, PT, DPT

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1316724651
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302793 Issued in MI
Practice address
245 Cherry St SE Ste 102
Grand Rapids, MI 49503-4607
Phone
(616) 201-3909
Fax
(866) 563-0637
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501302793 MI Primary

Addresses

Primary practice location

245 Cherry St SE Ste 102
Grand Rapids, MI 49503-4607

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000

Other practice location 1

7402 Westshire Dr Ste 105
Lansing, MI 48917-8687
Phone (517) 853-6800

Other practice location 2

4362 Cascade Rd SE Ste 206
Grand Rapids, MI 49546-3670
Phone (616) 465-6800

Other names 1

  • Maddison Misiak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230920003040 MI Practitioner - Physical Therapist in Private Practice 5092169326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advent Rehabilitation, LLCGroup PAC ID 9537070545, 57 clinicians

Practice addresses (Care Compare)

245 Cherry St SE
Suite 102
Grand Rapids, MI 49503-4607
Phone (616) 201-3909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advent Rehabilitation, LLC Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients
Peak Performance Physical Therapy, PLC Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
Advent Rehabilitation, LLC Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients
Ryan and Monica Wohlfert, PC CurrentSince Sep 17, 2023 Accepting new patients

Locations

6745 Fulton St E
Ste D
Ada, MI 49301
Phone (616) 274-1014

1471 E Beltline Ave NE
Ste 104
Grand Rapids, MI 49525
Phone (616) 233-3596

4362 Cascade Rd SE
Ste 206
Grand Rapids, MI 49546
Phone (616) 678-2070

245 Cherry St SE
Ste 102
Grand Rapids, MI 49503
Phone (616) 201-3909

7402 Westshire Dr
Ste 105
Lansing, MI 48917
Phone (517) 927-8718

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1316724651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHERRY ST SE STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034607",
            "telephone_number": "616-201-3909",
            "fax_number": "866-563-0637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7402 Westshire Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489178687",
            "country_code": "US",
            "telephone_number": "517-853-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4362 Cascade Rd SE Ste 206",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495463670",
            "country_code": "US",
            "telephone_number": "616-465-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBAIN",
        "first_name": "MADDISON",
        "middle_name": "GRACE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADDISON",
            "last_name": "MISIAK",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.

Verify at the official NPI Registry.