Active NPI
Nicholas Platko, DPT
- Physical Therapist
- Holland, MI
National Provider Identifier
1396021275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501015737
- Practice address
- 601 Michigan Ave
Suite 220
Holland, MI 49423 - Phone
- (616) 355-4284
- Fax
- (616) 355-4285
- NPI assigned
- Oct 24, 2011
- Last updated
- Oct 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501015737 | MI | Primary |
Addresses
Primary practice location
601 Michigan Ave
Suite 220
Holland, MI 49423
Mailing address
607 Dewey Ave NW
Suite 300
Grand Rapids, MI 49504
Phone (616) 356-5000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501015737 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1396021275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 DEWEY AVE NW",
"address_2": "SUITE 300",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49504",
"telephone_number": "616-356-5000",
"fax_number": "616-356-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 MICHIGAN AVE",
"address_2": "SUITE 220",
"city": "HOLLAND",
"state": "MI",
"postal_code": "49423",
"telephone_number": "616-355-4284",
"fax_number": "616-355-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATKO",
"first_name": "NICHOLAS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-24",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.