Prosper Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PROSPER HEALTH LLC

Practice address

5228 Lovers LN Ste 110
Portage, MI 49002-1521

Phone

(269) 312-8648

Fax

(269) 585-6293

NPI assigned

Oct 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Michael Ball, DC

Title

Ceo/Lead Clinician

Phone

(269) 312-8648

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1548735277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 LOVERS LN STE 110",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021521",
            "telephone_number": "269-312-8648",
            "fax_number": "269-585-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 LOVERS LN STE 110",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021521",
            "telephone_number": "269-312-8648",
            "fax_number": "269-585-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/LEAD CLINICIAN",
        "authorized_official_telephone_number": "269-312-8648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Principe
• Principle Therapy & Wellness
• Keyra Pritchett
• Promed Healthcare
• Promed Healthcare
• Alicia Pueblo
• Kyle L Purdum, OT
• Todd Pushee
• Christopher Quertermus, CRNA
• Derek James Quinn, PHARM.D., R.PH.

• Clinic/Center in Portage, MI
• Providers in Portage, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.