Organization Active NPI

Therapy Management Inc

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1407293640
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAPY MANAGEMENT INC
Practice address
3000 Monroe Ave NE
Grand Rapids, MI 49505-3313
Phone
(877) 864-8171
Fax
(989) 509-5965
NPI assigned
May 29, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Kellie J Peden
Title
Owner
Phone
(877) 864-8171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

3000 Monroe Ave NE
Grand Rapids, MI 49505-3313

Mailing address

851 Penniman Ave
Plymouth, MI 48170-1621
Phone (877) 864-8171

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1407293640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 PENNIMAN AVE",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701621",
            "telephone_number": "877-864-8171",
            "fax_number": "989-509-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MONROE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053313",
            "telephone_number": "877-864-8171",
            "fax_number": "989-509-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "PEDEN",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-864-8171"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.