Organization Active NPI

Therapy Specialists, Inc.

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1679598452
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004057 Issued in MI
Legal business name
THERAPY SPECIALISTS, INC.
Practice address
1444 Michigan St NE
Grand Rapids, MI 49503-2028
Phone
(616) 292-6736
Fax
(616) 774-0961
NPI assigned
Jul 13, 2006
Last updated
Sep 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Mr. Steven Leo Stratton, MHSPTNPI 1194910596
Title
President
Phone
(616) 292-6736

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 5501004057 MI Primary

Addresses

Primary practice location

1444 Michigan St NE
Grand Rapids, MI 49503-2028

Mailing address

1444 Michigan St NE
Grand Rapids, MI 49503-2028
Phone (616) 292-6736

Other identifiers 1

IdentifierTypeStateIssuer
650D157400OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130912000158 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204925852 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

1444 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 292-6736

2215 Oak Industrial Dr NE
Ste 208
Grand Rapids, MI 49505
Phone (616) 292-6736

Practitioners & affiliated clinicians

Practitioners 1

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1679598452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032028",
            "telephone_number": "616-292-6736",
            "fax_number": "616-774-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032028",
            "telephone_number": "616-292-6736",
            "fax_number": "616-774-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-292-6736",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "650D157400",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 4, 2013; 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.