Active NPI
Therapy Management Inc
- Physical Therapist
- Grand Rapids, MI
National Provider Identifier
1407293640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.