NPIMap

Organization Active NPI

Stanton Crossings Physical Therapy LLC

  • Physical Therapist
  • West Olive, MI
National Provider Identifier
1609802313
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STANTON CROSSINGS PHYSICAL THERAPY LLC
Practice address
15151 Stanton St
Suite B
West Olive, MI 49460-8543
Phone
(616) 296-9235
Fax
(616) 296-9236
NPI assigned
Jun 24, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
AGILITY HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Steven N Davidson, PTNPI 1467480533
Title
Member
Phone
61613455000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

15151 Stanton St
Suite B
West Olive, MI 49460-8543

Mailing address

15151 Stanton St
Suite B
West Olive, MI 49460-8543
Phone (616) 296-9235

National Provider Directory

National Provider Directory
Part of
Stanton Crossings Physical Therapy LLC

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

560 5th St NW
Ste 404
Grand Rapids, MI 49504

15151 Stanton St
Ste B
West Olive, MI 49460
Phone (616) 296-9235

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1609802313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15151 STANTON ST",
            "address_2": "SUITE B",
            "city": "WEST OLIVE",
            "state": "MI",
            "postal_code": "494608543",
            "telephone_number": "616-296-9235",
            "fax_number": "616-296-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15151 STANTON ST",
            "address_2": "SUITE B",
            "city": "WEST OLIVE",
            "state": "MI",
            "postal_code": "494608543",
            "telephone_number": "616-296-9235",
            "fax_number": "616-296-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANTON CROSSINGS PHYSICAL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGILITY HEALTH INC",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "61613455000",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Olive, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.