Austin Patrick Cammire, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018838 Issued in MI

Practice address

2185 84TH St SW
Suite H
Byron Center, MI 49315-8021

Phone

(616) 249-2924

NPI assigned

Jul 18, 2019

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

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

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1508419631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 LAKE MICHIGAN DR NW",
            "address_2": "SUITE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495346300",
            "telephone_number": "269-808-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 84TH ST SW",
            "address_2": "SUITE H",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158021",
            "telephone_number": "616-249-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMIRE",
        "first_name": "AUSTIN",
        "middle_name": "PATRICK",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-18",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy J Bukala, PMHNP-BC, FNP-BC
• Alia Rose Burgess
• Miranda Paige Byl, LLMSW
• Byron Center Chiropractic
• Byron Family Medicine, P.C.
• Ryan Camp, DPT
• Justin Edward Carroll, AT,ATC, CSCS
• Timothy Cassity
• Jeffery Lee Chamberlain, M.D.
• Christopher Powell, DDS Pediatric Dentistry, PLLC

• Physical Therapist in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.