NPIMap

Organization Active NPI

Dynamic Movement and Recovery

Doing business as DMR Move and Recover

  • Physical Therapy Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1346719234
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DYNAMIC MOVEMENT AND RECOVERY
Doing business as
DMR Move and Recover
Practice address
5429 Northland Dr NE Ste a
Grand Rapids, MI 49525-1089
Phone
(616) 855-0540
Fax
(616) 855-1185
NPI assigned
Nov 20, 2018
Last updated
Jun 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Leonard Henry Van Gelder, PT, DPTNPI 1831526383
Title
Owner
Phone
(616) 855-0540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5429 Northland Dr NE Ste a
Grand Rapids, MI 49525-1089

Mailing address

5429 Northland Dr NE Ste a
Grand Rapids, MI 49525-1089
Phone (616) 855-0540

Other names 2

  • DMR Move and Recover Doing business as
  • Dynamic Movement and Recovery PLLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190227002433 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446599930 Receives reassigned benefits from 5 practitioners
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

4950 Plainfield Ave NE
Ste A
Grand Rapids, MI 49525
Phone (616) 855-0540

5429 Northland Dr NE
Ste A
Grand Rapids, MI 49525
Phone (616) 855-0540

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1346719234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 NORTHLAND DR NE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251089",
            "telephone_number": "616-855-0540",
            "fax_number": "616-855-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 NORTHLAND DR NE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251089",
            "telephone_number": "616-855-0540",
            "fax_number": "616-855-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MOVEMENT AND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "VAN GELDER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-855-0540",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMR Move and Recover",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dynamic Movement and Recovery PLLC",
            "code": "5",
            "type": "Other 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 Jun 7, 2021; 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.