Organization Active NPI

Occupational Rehabilitative Services LLC

  • Physical Therapy Clinic/Center
  • Holland, MI
National Provider Identifier
1669651097
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501009059 Issued in MI
Legal business name
OCCUPATIONAL REHABILITATIVE SERVICES LLC
Practice address
335 N 120TH Ave
2ND Floor
Holland, MI 49424-2118
Phone
(616) 355-2930
Fax
(616) 392-9030
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Thomas Fowler, DC
Title
Owner
Phone
(616) 355-2930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501009059 MI Primary

Addresses

Primary practice location

335 N 120TH Ave
2ND Floor
Holland, MI 49424-2118

Mailing address

335 N 120TH Ave
2ND Floor
Holland, MI 49424-2118
Phone (616) 355-2930

National Provider Directory

National Provider Directory

Locations

335 N 120th Ave
Fl 2
Holland, MI 49424
Phone (616) 355-2930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1669651097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 N 120TH AVE",
            "address_2": "2ND FLOOR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242118",
            "telephone_number": "616-355-2930",
            "fax_number": "616-392-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N 120TH AVE",
            "address_2": "2ND FLOOR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242118",
            "telephone_number": "616-355-2930",
            "fax_number": "616-392-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL REHABILITATIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-355-2930",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501009059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.