West Michigan Community-Based Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WEST MICHIGAN COMMUNITY-BASED REHABILITATION LLC

Practice address

8729 Bentham CT
Rockford, MI 49341-8199

Phone

(248) 672-6308

NPI assigned

Feb 15, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jon Potvin, DPT

Title

Physical Therapist

Phone

(248) 672-6308

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Roach, PT, DPT, CBIS

  • Physical Therapist
  • Rockford, MI
  • NPI 1841605060
  Medicare reassignment NPD
• Jonathan Aldric Potvin, PT, DPT

  • Physical Therapist
  • Holly, MI
  • NPI 1730502030
  Medicare reassignment
• Kyle R Wesche, DPT

  • Physical Therapist
  • Grant, MI
  • NPI 1295214906
  Medicare reassignment
• Joseph Flater, PTA

  • Physical Therapy Assistant
  • Rockford, MI
  • NPI 1386244119
  NPD

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1346706223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8729 BENTHAM CT",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418199",
            "telephone_number": "248-672-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8729 BENTHAM CT",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418199",
            "telephone_number": "248-672-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN COMMUNITY-BASED REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "POTVIN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-672-6308",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Jean Warren, MSPT
• Sara Wassenaar
• Melissa Weber, DPT
• Daniel F. Wesche, M.ED., LPC
• West Michigan Chiropractic Center, PLC
• West Michigan Home Care Services, Inc
• Jill Maria Westcott, LMT
• Jae Wheeler
• Dylan White, EMT-P
• Jane Ellen White, H.I.S

• Physical Therapist in Rockford, MI
• Providers in Rockford, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.