Organization Active NPI

Orthopedic Rehabilitation

  • Physical Therapist
  • Muskegon, MI
National Provider Identifier
1568649986
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004375 Issued in MI
Legal business name
ORTHOPEDIC REHABILITATION
Practice address
6022 Harvey St
Suite H
Muskegon, MI 49444-8802
Phone
(231) 799-8883
Fax
(231) 799-8884
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Ms. Michelle Lynn Hertel, PT
Title
Physical Therapist/Member
Phone
(231) 799-8883

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501004375 MI Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 5201001131 MI

Addresses

Primary practice location

6022 Harvey St
Suite H
Muskegon, MI 49444-8802

Mailing address

6022 Harvey St
Suite H
Muskegon, MI 49444-8802
Phone (231) 799-8883

Other identifiers 3

IdentifierTypeStateIssuer
138689OtherMIPREFERRED CHOICES
650F110770OtherMIBCBSM
7148506OtherMIAETNA

National Provider Directory

National Provider Directory

Locations

6022 Harvey St
Ste H
Muskegon, MI 49444
Phone (231) 799-8883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1568649986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 HARVEY ST",
            "address_2": "SUITE H",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494448802",
            "telephone_number": "231-799-8883",
            "fax_number": "231-799-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 HARVEY ST",
            "address_2": "SUITE H",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494448802",
            "telephone_number": "231-799-8883",
            "fax_number": "231-799-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "HERTEL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/MEMBER",
        "authorized_official_telephone_number": "231-799-8883",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004375",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES",
            "identifier": "138689",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "650F110770",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7148506",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.