Individual provider Active NPI

Lindsay Marie Gockenbach, PT, DPT

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1588333975
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508
Phone
(616) 281-1144
Fax
(888) 209-9322
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT033230 PA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508

Mailing address

2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508
Phone (910) 238-2259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230908003380 WA Practitioner - Physical Therapist in Private Practice 0648677633 Reassigns benefits to 1 organization
I20240319004016 MI Practitioner - Physical Therapist in Private Practice 0648677633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT033230PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hulst Jepsen Physical Therapy Inc Physical Therapist CurrentSince Feb 20, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Aug 18, 2023 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Aug 18, 2023 Accepting new patients

Locations

2120 43rd St SE
Ste 100
Grand Rapids, MI 49508
Phone (616) 281-1144

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

7727 40th St W
Ste A
University Place, WA 98466
Phone (253) 460-1362

Interoperability endpoints

  • Direct secure messaging: lindsay.m.gockenbach@upmcdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1588333975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 43RD ST SE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49508",
            "telephone_number": "910-238-2259",
            "fax_number": "888-209-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 43RD ST SE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49508",
            "telephone_number": "616-281-1144",
            "fax_number": "888-209-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOCKENBACH",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033230",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.