NPIMap

Organization Active NPI

West Michigan Rehabilitation Center Inc

  • Physical Therapist
  • Wyoming, MI
National Provider Identifier
1376628446
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005841 Issued in MI
Legal business name
WEST MICHIGAN REHABILITATION CENTER INC
Practice address
585 36TH St SW
Wyoming, MI 49509-4002
Phone
(616) 855-1900
Fax
(616) 855-0565
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Mr. Pasupathy Vadivelu, PT
Title
President
Phone
(616) 855-1900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501005841 MI Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501015732 MI

Addresses

Primary practice location

585 36TH St SW
Wyoming, MI 49509-4002

Mailing address

5825 Powderhorn CT SW
Wyoming, MI 49418-9340
Phone (616) 855-1900

National Provider Directory

National Provider Directory

Locations

3181 Prairie St SW
Ste 102
Grandville, MI 49418
Phone (616) 249-3545

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1376628446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 POWDERHORN CT SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494189340",
            "telephone_number": "616-855-1900",
            "fax_number": "616-855-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 36TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094002",
            "telephone_number": "616-855-1900",
            "fax_number": "616-855-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "VADIVELU",
        "authorized_official_first_name": "PASUPATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-855-1900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005841",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.