NPIMap

Organization Active NPI

Van Ryn Therapies

  • Clinic/Center
  • Caledonia, MI
National Provider Identifier
1356065783
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VAN RYN THERAPIES
Practice address
7101 Broadmoor Ave SE
Caledonia, MI 49316-7329
Phone
(616) 970-2176
NPI assigned
Sep 29, 2022
Last updated
Sep 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Karyn Van Ryn, OTR/LNPI 1629571237
Title
Owner
Phone
(616) 970-2176

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

7101 Broadmoor Ave SE
Caledonia, MI 49316-7329

Mailing address

8011 92ND St SE
Alto, MI 49302-8951
Phone (616) 970-2176

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230208000463 MI Part B Supplier - Clinic/Group Practice 9032581624 Receives reassigned benefits from 1 practitioner
Practice locations: Caledonia, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1356065783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 92ND ST SE",
            "city": "ALTO",
            "state": "MI",
            "postal_code": "493028951",
            "telephone_number": "616-970-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 BROADMOOR AVE SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167329",
            "telephone_number": "616-970-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN RYN THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "VAN RYN",
        "authorized_official_first_name": "KARYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-970-2176",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.