Individual provider Active NPI

Steven Norris Davidson, PT

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1467480533
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501300242 Issued in MI
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.

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

OrganizationSpecialtyStatusNew 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 PastSince Apr 30, 2003 Accepting new patients
Stanton Crossings Physical Therapy LLC Physical Therapist PastSince Jul 1, 2006 Accepting new patients
Havelock Peak Performance Sports & Physical Therapy, LLC Physical Therapist PastSince Jan 27, 2014 Accepting new patients
Alliance Physical Therapy Group LLC Physical Therapist PastSince Mar 23, 2015 Accepting new patients
Continuum Wellness Clinic, LLC PastSince Nov 19, 2010 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501300242 MI Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.