Zachary Raehtz

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5570 Wilson Ave SW Ste a
Wyoming, MI 49418-8867

Phone

(616) 855-1495

NPI assigned

Mar 24, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hulst Jepsen Physical Therapy Inc

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1609957760
  Medicare reassignment NPD
• Indispensable Health, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Ann Arbor, MI
  • NPI 1982690806
  NPD (past)

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1497405567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30516",
            "address_2": "DEPT 5300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 WILSON AVE SW STE A",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494188867",
            "telephone_number": "616-855-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAEHTZ",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "5501301846",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Hoover Racette, PHD
• Rachel Korneffel Counseling LLC
• Ralph E Rader, D.D.S.
• Shana Lynn Radomski, MPT, DO
• Sara Jo Rae
• Rai Care Centers of Michigan I, LLC
• Phillip Raimer
• Jennifer Christine Ramsey, NP-C
• Amanda Ramthun, RN
• Julie Ann Ranburger, RPH

• Physical Therapist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.