Organization Active NPI

Hulst Jepsen Physical Therapy Inc

  • Physical Therapist
  • Greenville, MI
National Provider Identifier
1366658619
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HULST JEPSEN PHYSICAL THERAPY INC
Practice address
1810 W Washington St
Suite 4
Greenville, MI 48838-2629
Phone
(616) 520-5568
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas J Hulst, P.T.NPI 1235353657
Title
President
Phone
(616) 281-1144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1810 W Washington St
Suite 4
Greenville, MI 48838-2629

Mailing address

2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508-3772
Phone (616) 281-1144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060206000755 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325033285 Receives reassigned benefits from 151 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Zeeland, MI; Wyoming, MI; Cedar Springs, MI; Rockford, MI; Norton Shores, MI; Lowell, MI; Jenison, MI; Hudsonville, MI…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1810 W Washington St
Ste 4
Greenville, MI 48838
Phone (616) 225-2325

Practitioners & affiliated clinicians

Practitioners 1

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366658619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 43RD ST SE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495083772",
            "telephone_number": "616-281-1144",
            "fax_number": "616-281-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 W WASHINGTON ST",
            "address_2": "SUITE 4",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382629",
            "telephone_number": "616-520-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULST JEPSEN PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HULST",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-281-1144",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.