Individual provider Active NPI

Linnae Viles, PT

  • Physical Therapist
  • Grand Haven, MI
National Provider Identifier
1326319328
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014981 Issued in MI
Practice address
950 Taylor Ave Ste 180
Grand Haven, MI 49417-2281
Phone
(616) 200-4428
Fax
(616) 200-4436
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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 5501014981 MI Primary

Addresses

Primary practice location

950 Taylor Ave Ste 180
Grand Haven, MI 49417-2281

Mailing address

950 Taylor Ave Ste 180
Grand Haven, MI 49417-2281
Phone (616) 200-4428

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190312003066 MI Practitioner - Physical Therapist in Private Practice 9436499357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hanneken Physical Therapy LLCGroup PAC ID 1658375480, 5 clinicians

Practice addresses (Care Compare)

286 Hoover Blvd
Holland, MI 49423-3719
Phone (616) 392-2172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501014981MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trumbull & Associates Physical Therapy & Spine PLLC Physical Therapist CurrentSince Feb 4, 2019 Accepting new patients
Hanneken Physical Therapy LLC Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Advent Rehabilitation, LLC Physical Therapist Past Accepting new patients

Locations

950 Taylor Ave
Ste 180
Grand Haven, MI 49417
Phone (616) 200-4428

286 Hoover Blvd
Holland, MI 49423
Phone (616) 392-2172

Organizations & group practices 3

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": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1326319328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 TAYLOR AVE STE 180",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172281",
            "telephone_number": "616-200-4428",
            "fax_number": "616-200-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 TAYLOR AVE STE 180",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172281",
            "telephone_number": "616-200-4428",
            "fax_number": "616-200-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILES",
        "first_name": "LINNAE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.