Active NPI
Cali Carpenter, DPT
- Physical Therapist
- Grand Rapids, MI
National Provider Identifier
1356610943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 550105764
- Practice address
- 5060 Cascade Rd SE Ste a
Grand Rapids, MI 49546-3808 - Phone
- (616) 954-0950
- NPI assigned
- Dec 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 550105764 | MI | Primary |
Addresses
Primary practice location
5060 Cascade Rd SE Ste a
Grand Rapids, MI 49546-3808
Mailing address
263 Morris Ave SE Apt 2
Grand Rapids, MI 49503-4683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 550105764 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Physical Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1568416337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1356610943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 MORRIS AVE SE APT 2",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5060 CASCADE RD SE STE A",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463808",
"telephone_number": "616-954-0950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "CALI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-28",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "550105764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.