Active NPI
Elaine Marlene Walin
- Physical Therapist
- Muskegon, MI
National Provider Identifier
1376735969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501013451
- Practice address
- 1080 E Sternberg Rd
Muskegon, MI 49444-8796 - Phone
- (231) 799-2200
- NPI assigned
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7911 | MN | |
| Physical Therapist | 225100000X | 5501013451 | MI | Primary |
Addresses
Primary practice location
1080 E Sternberg Rd
Muskegon, MI 49444-8796
Mailing address
9219 Barrington Ter
Brooklyn Park, MN 55443-1718
Phone (218) 341-1532
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501013451 | MI | MD | Physical Therapist |
| 7911 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Network - Rehabilitation Services | 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.
-
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Grand Rapids, MI
- NPI 1528043544
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1376735969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9219 BARRINGTON TER",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554431718",
"telephone_number": "218-341-1532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 E STERNBERG RD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494448796",
"telephone_number": "231-799-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALIN",
"first_name": "ELAINE",
"middle_name": "MARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7911",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501013451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.