Adam Rezmer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016859 Issued in MI

Practice address

3152 Port Sheldon St
A
Hudsonville, MI 49426-9297

Phone

(616) 662-0990

NPI assigned

Oct 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hudsonville Physical Therapy, Inc.

  • Physical Therapist
  • Hudsonville, MI
  • NPI 1902977788
  NPD (past)
• Kinetic Rehabilitation Inc.

  • Rehabilitation Clinic/Center
  • South Lyon, MI
  • NPI 1235670373
  NPD (past)
• Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Livonia, MI
  • NPI 1689691388
  NPD (past)

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1639572423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 COLLEGE AVE NE APT 413",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 PORT SHELDON ST",
            "address_2": "A",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494269297",
            "telephone_number": "616-662-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZMER",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30685",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902977788",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebuild and Restore Counceling, LLC
• Rediske Dental Professional Corporation
• Rehab 4 Performance
• Renewed Physical Therapy LLC
• William Jon Renkema, RN
• Mason David Riegel, PHYSICAL THERAPIST
• Kaelin Marie Roberts
• Michael Scott Ruszkowski, D.D.S.
• Saint Mary'S Health Services
• Priscilla Salazar-Bont

• Physical Therapist in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.