Active NPI
Steven Norris Davidson, PT
- Physical Therapist
- Grand Rapids, MI
National Provider Identifier
1467480533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501300242
- Practice address
- 560 5TH St NW
Suite 404
Grand Rapids, MI 49504-5219 - Phone
- (616) 356-5000
- Fax
- (616) 356-5001
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Preferred Provider Organization
- Grand Rapids, MI
- NPI 1073137592
-
- Physical Therapist
- West Olive, MI
- NPI 1609802313
-
- Prosthetic/Orthotic Supplier
- Kentwood, MI
- NPI 1083933717
-
- Physical Therapist
- Harmony, PA
- NPI 1891716619
-
- Physical Therapist
- Holland, MI
- NPI 1649216144
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Grand Rapids, MI
- NPI 1003909524
-
- Durable Medical Equipment & Medical Supplies
- Chandler, AZ
- NPI 1982968087
-
- Physical Therapist
- Havelock, NC
- NPI 1588623847
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 |
|---|---|---|---|
| Biocorrect, LLC | Current | Accepting new patients | |
| Rehabpros LLC | Current | Accepting new patients | |
| Panther Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| MFB Professional Services Inc | Past | Accepting new patients | |
| Stanton Crossings Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Havelock Peak Performance Sports & Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Alliance Physical Therapy Group LLC | Physical Therapist | Past | Accepting new patients |
| Continuum Wellness Clinic, LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501300242 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
560 5TH St NW
Suite 404
Grand Rapids, MI 49504-5219
Mailing address
7776 Whitburn Dr SE
Ada, MI 49301-9364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2007.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1467480533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7776 WHITBURN DR SE",
"city": "ADA",
"state": "MI",
"postal_code": "493019364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 5TH ST NW",
"address_2": "SUITE 404",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495045219",
"telephone_number": "616-356-5000",
"fax_number": "616-356-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "STEVEN",
"middle_name": "NORRIS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501300242",
"primary": true
}
],
"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 Dec 21, 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.