Active NPI
David Clark Krombeen, DPT
- Physical Therapist
- Grandville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017487
- Practice address
- 4120 Chicago Dr SW
Grandville, MI 49418-1281 - Phone
- (616) 534-0366
- Fax
- (616) 534-0540
- NPI assigned
- Nov 16, 2015
- 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 | 5501017487 | MI | Primary |
Addresses
Primary practice location
4120 Chicago Dr SW
Grandville, MI 49418-1281
Mailing address
1331 Lake Dr SE
Ste 105
Grand Rapids, MI 49506-1674
Phone (616) 534-0366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 N Wellness Dr
Holland, MI 49424-8122
Phone (616) 994-2770
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.85 of 100
- Quality
- 81.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501017487 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Ear, Nose, Throat, and Allergy Specialists, PC | Physical Therapist | Current | Accepting new patients |
| Progressive Physical Therapy PLC | Physical Therapist | Past | Accepting new patients |
Locations
11160 Wj Presley Pkwy
Ste 103
Allendale, MI 49401
Phone (616) 895-4050
3501 Rivertown Point Ct SW
Grandville, MI 49418
Phone (616) 396-1433
3100 N Wellness Dr
Holland, MI 49424
Phone (616) 396-1433
Organizations & group practices 2
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.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Holland, MI
- NPI 1780029991
Physical Therapist
-
- Physical Therapist
- Grandville, MI
- NPI 1538228762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1396119228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 LAKE DR SE",
"address_2": "STE 105",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061674",
"telephone_number": "616-534-0366",
"fax_number": "616-534-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 CHICAGO DR SW",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494181281",
"telephone_number": "616-534-0366",
"fax_number": "616-534-0540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROMBEEN",
"first_name": "DAVID",
"middle_name": "CLARK",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-16",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.