Launch Pediatric Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LAUNCH PEDIATRIC REHAB

Practice address

13448 Greenbriar Dr
Grand Haven, MI 49417-9161

Phone

(616) 294-8050

NPI assigned

May 26, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Bastian, DPTNPI 1386897064

Title

President

Phone

(616) 294-8050

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Bastian, DPT

  • Physical Therapist
  • Muskegon, MI
  • NPI 1386897064
  NPD Authorized official

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1497378368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13448 GREENBRIAR DR",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179161",
            "telephone_number": "616-294-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13448 GREENBRIAR DR",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179161",
            "telephone_number": "616-294-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUNCH PEDIATRIC REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "BASTIAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-294-8050",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Michele Lamphere, AT, ATC
• Lauren Elisabeth Lane, D.O.
• Sharon Cayo Lanoue, LMSW
• Brea Larrison
• Bethany Latham, PHARM.D
• Avery Lautenschlaeger
• Denise R Leclaire, M.A., L.L.P.
• John Andrew Leenhouts, MD
• John Orr Leitner, DDS
• Tressa Lemerand

• Physical Therapy Clinic/Center in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.