Divine Therapy Services Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DIVINE THERAPY SERVICES INC

Practice address

607 Turner St
Dewitt, MI 48820-9605

Phone

(231) 233-2480

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerrolynn Justusson

Title

President

Phone

(800) 743-0396

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1477276368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 TURNER ST",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209605",
            "telephone_number": "231-233-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 TURNER ST",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209605",
            "telephone_number": "231-233-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A",
        "authorized_official_last_name": "JUSTUSSON",
        "authorized_official_first_name": "JERROLYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-743-0396"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dewitt Family Dental, P.C.
• Dewitt Family Therapy L.L.C.
• Dewitt Optometry PC
• Swetha Dharmavaram Kottam, RPH
• Divine Home Care and Staffing Solutions
• Mitchell Robert Dobrzelewski, OD
• Downtown Dewitt Chiropractic, P.C.
• Thomas John Doyle, O.D.
• Julia Drake, PT, DPT
• Jackie Drushel-Vanamburg, RDH

• Physical Medicine & Rehabilitation Physician in Dewitt, MI
• Providers in Dewitt, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.