Active NPI
Hulst Jepsen Physical Therapy Inc
- Physical Therapist
- Greenville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas J Hulst, P.T.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1609957760
O20060206000755
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1235353657
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.