Active NPI
Joan Kroeze, PT
- Physical Therapist
- Holland, MI
National Provider Identifier
1447273198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501008485
- Practice address
- 286 Hoover Blvd
Holland, MI 49423-0286 - Phone
- (616) 392-2172
- Fax
- (616) 392-1726
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- 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 | 5501008485 | MI | Primary |
Addresses
Primary practice location
286 Hoover Blvd
Holland, MI 49423-0286
Mailing address
286 Hoover Blvd
Holland, MI 49423-0286
Phone (616) 392-2172
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanneken Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Hannaford Bros. Co., LLC | Past | Accepting new patients |
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.
-
- Physical Therapist
- Holland, MI
- NPI 1528080629
-
- Community/Retail Pharmacy
- Scarborough, ME
- NPI 1861175622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185494400000",
"number": "1447273198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 HOOVER BLVD",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494230286",
"telephone_number": "616-392-2172",
"fax_number": "616-392-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 HOOVER BLVD",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494230286",
"telephone_number": "616-392-2172",
"fax_number": "616-392-1726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEZE",
"first_name": "JOAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501008485",
"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 Jul 27, 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.