NPIMap

Organization Active NPI

Hulst Jepsen Physical Therapy Inc

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1609957760
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HULST JEPSEN PHYSICAL THERAPY INC
Practice address
2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508-3772
Phone
(616) 281-1144
Fax
(616) 281-1221
NPI assigned
Oct 17, 2006
Last updated
Feb 21, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HULST JEPSEN PHYSICAL THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Thomas James Hulst, PTNPI 1235353657
Title
President
Phone
(616) 281-1144

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X MI Primary

Addresses

Primary practice location

2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508-3772

Mailing address

2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508-3772
Phone (616) 281-1144

Other names 1

  • Hulst Jepsen Physical Therapy Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060206000755 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325033285 Receives reassigned benefits from 151 practitioners
1 other NPI on this enrollment
Practice locations: Zeeland, MI; Wyoming, MI; Cedar Springs, MI; Rockford, MI; Norton Shores, MI; Lowell, MI; Jenison, MI; Hudsonville, MI…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hulst Jepsen Phys Thrpy Inc8 organizations share this tax ID, including this one
Part of
Hulst Jepsen Phys Thrpy Inc

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2185 84th St SW
Ste H
Byron Center, MI 49315
Phone (616) 249-2924

7169 Kalamazoo Ave SE
Ste 200
Caledonia, MI 49316
Phone (616) 265-2414

9028 N Rodgers Ct SE
Ste J
Caledonia, MI 49316
Phone (616) 890-0600

14111 White Creek Ave NE
Ste J
Cedar Springs, MI 49319
Phone (616) 256-8664

17272 Robbins Rd
Ste 102
Grand Haven, MI 49417
Phone (616) 256-8670

3282 Clear Vista Ct NE
Ste A
Grand Rapids, MI 49525
Phone (616) 365-2709

345 Fuller Ave NE
Ste 1
Grand Rapids, MI 49503
Phone (309) 743-2070

4120 E Beltline Ave NE
Ste 200
Grand Rapids, MI 49525
Phone (616) 365-2709

4248 Kalamazoo Ave SE
Ste D
Grand Rapids, MI 49508
Phone (616) 281-1144

4761 Lake Michigan Dr NW
Ste A
Grand Rapids, MI 49534
Phone (616) 608-9978

5136 Cascade Rd SE
Ste 1C
Grand Rapids, MI 49546
Phone (616) 301-1215

1810 W Washington St
Ste 4
Greenville, MI 48838
Phone (616) 225-2325

2425 W Washington St
#B
Greenville, MI 48838
Phone (616) 225-2325

12365 James St
Ste 30
Holland, MI 49424
Phone (616) 510-2179

5340 Plaza Ave
Ste 3
Hudsonville, MI 49426
Phone (616) 608-8922

5819 Balsam Dr
Hudsonville, MI 49426
Phone (616) 209-5435

610 Baldwin St
Jenison, MI 49428
Phone (616) 608-8930

1335 W Main St
Ste B
Lowell, MI 49331
Phone (616) 888-3184

175 Marcell Dr NE
Rockford, MI 49341
Phone (616) 866-0141

1535 44th St SW
Wyoming, MI 49509
Phone (616) 281-1144

1621 44th St SW
Wyoming, MI 49509
Phone (616) 532-9003

5570 Wilson Ave SW
Ste A
Wyoming, MI 49418
Phone (616) 855-1495

26 N State St
Zeeland, MI 49464
Phone (616) 256-8677

Practitioners & affiliated clinicians

Practitioners 159

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.

View all 159

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1609957760",
    "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": "495083772",
            "telephone_number": "616-281-1144",
            "fax_number": "616-281-1221"
        },
        {
            "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": "495083772",
            "telephone_number": "616-281-1144",
            "fax_number": "616-281-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULST JEPSEN PHYSICAL THERAPY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HULST JEPSEN PHYSICAL THERAPY",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "HULST",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-281-1144",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hulst Jepsen Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 21, 2014; 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.