Joel Andrew Vander Wall, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010049

Practice address

3863 Lake Michigan Dr NW
Grand Rapids, MI 49534

Phone

(616) 735-4545

Fax

(616) 735-6344

NPI assigned

Jun 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kasim LTD

  • Physical Therapy Clinic/Center
  • Grand Rapids, MI
  • NPI 1811948953
  NPD (past)
• Lewis & McCorry PC

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1659408029
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386849875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 64TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "49315",
            "telephone_number": "616-257-3014",
            "fax_number": "616-735-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 LAKE MICHIGAN DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49534",
            "telephone_number": "616-735-4545",
            "fax_number": "616-735-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER WALL",
        "first_name": "JOEL",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "5501010049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie M Vander Schel, MSW, LMSW
• Kendra Vander Sluis-Kallemeyn, LMSW
• Ericka Lee Vander Sys, CNM
• David Dirk Vander Velde, DO
• Audrey Joy-Baker Vander Wal, MA, LPC
• Elizabeth Vander Weide
• Susan Kay Vander Weide
• Karra Vander Wiere, LMSW
• Amy C Vander Woude, M.D.
• Douglas Lee Vander Woude, MD

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.