Living Hope Physical Therapy, L.L.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501009001 Issued in MI

Legal business name

LIVING HOPE PHYSICAL THERAPY, L.L.C.

Practice address

8847 Mason Dr
Newaygo, MI 49337-8815

Phone

(231) 652-8140

Fax

(231) 652-8141

NPI assigned

Nov 9, 2007

Last updated

Apr 20, 2008By 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

Mr. David Aaron Doubblestein, PTNPI 1013005479

Title

Physical Therapist

Phone

(231) 652-8140

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• David Aaron Doubblestein, PT

  • Physical Therapist
  • Flint, MI
  • NPI 1013005479
  NPD (past) Authorized official

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1528248200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493370474",
            "telephone_number": "231-652-8140",
            "fax_number": "231-652-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8847 MASON DR",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493378815",
            "telephone_number": "231-652-8140",
            "fax_number": "231-652-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HOPE PHYSICAL THERAPY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DOUBBLESTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "231-652-8140",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4750869",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Jayme Kloss, DNP, APRN, AGNP-BC
• Tammi Dea Kolski, MS, LLP
• Cynthia Lee Kuikstra, RECOVERY COACH
• Michelle L. Lenz, M.D.
• Ronald Paul Leyder, DDS
• Annmarie Louise Loutzenhiser, LLMSW
• Jennifer Louzon
• Jackie Ann Malsom, LMSW
• Kylee McCracken
• Christi McWatters

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.