Golden Inning

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GOLDEN INNING

Practice address

3437 Mason View Dr NE
Grand Rapids, MI 49525-9538

Phone

(616) 780-6037

NPI assigned

Jun 1, 2022

Last updated

Jun 4, 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

Ravikumar Shukla, PHYSICAL THERAPISTNPI 1356677835

Title

Physical Therapist

Phone

(616) 780-6037

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravikumar K Shukla, RPT

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1356677835
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1518606128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 MASON VIEW DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259538",
            "telephone_number": "616-780-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3437 MASON VIEW DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259538",
            "telephone_number": "616-780-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN INNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "RAVIKUMAR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "616-780-6037",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parin S Gohel, MD
• Grace Isabella Goins
• Katelyn Goke
• Golan Integrated Physical Medicine (Advanced Spine and Posture)
• Golan Integrated Physical Medicine
• Jill Diane Golden, M.D.
• Megan Golden
• Melissa Pavelack Golden, DO
• Marlo May Golder
• Courtney Golding, PHD

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.