PTX Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501006842 Issued in MI

Legal business name

PTX PHYSICAL THERAPY, LLC

Practice address

17210 Van Wagoner Rd
Spring Lake, MI 49456

Phone

(616) 402-3419

NPI assigned

May 7, 2018

Last updated

Jun 30, 2018By 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

Robin IsaacsNPI 1700863370

Title

Physical Therapist

Phone

(616) 402-3419

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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.

• Robin Isaacs, PT

  • Physical Therapist
  • Spring Lake, MI
  • NPI 1700863370
  Medicare reassignment Care Compare group NPD Authorized official
• Cori J Geoghan, DPT

  • Physical Therapist
  • Spring Lake, MI
  • NPI 1952583841
  Medicare reassignment Care Compare group
• Kristin Hall, PT

  • Physical Therapist
  • Holland, MI
  • NPI 1598208134
  Medicare reassignment Care Compare group
• Susan Isaacs, D.C.

  • Chiropractor
  • Grand Haven, MI
  • NPI 1043450026
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530316800000",
    "number": "1609365550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17210 VAN WAGONER RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569702",
            "telephone_number": "616-402-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17210 VAN WAGONER RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "49456",
            "telephone_number": "616-402-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTX PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-06-30",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "616-402-3419"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501006842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pine Rest Christian Mental Health Services
• Ashley Piper
• Hannah Powers
• Privamd Physicians PLLC (PremierMD Physicians PLLC)
• Renee M Przystas, DPT
• Levi J Pulver, DC
• Lynn Louise Rawson, BSN, RN
• Linda Coleen Rea, CMT
• Recore Counseling and Consulting, Inc
• Kathryn A Reicks, SLP

• Physical Therapy Clinic/Center in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2018; 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.