Active NPI
Aimee Reasoner
- Physical Therapist
- Portage, MI
National Provider Identifier
1508059841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501010684
- Practice address
- 2615 Hill an Brook Dr
Portage, MI 49024-5620 - Phone
- (269) 344-3066
- NPI assigned
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501010684 | MI | Primary |
Addresses
Primary practice location
2615 Hill an Brook Dr
Portage, MI 49024-5620
Mailing address
6789 Elm Valley Dr
Kalamazoo, MI 49009-7476
Phone (269) 544-3230
Other names 1
- Aimee Wolfe
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501010684 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B and C Rehab Services LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Portage, MI
- NPI 1396837589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1508059841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6789 ELM VALLEY DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490097476",
"telephone_number": "269-544-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 HILL AN BROOK DR",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490245620",
"telephone_number": "269-344-3066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REASONER",
"first_name": "AIMEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AIMEE",
"last_name": "WOLFE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.