Individual provider Active NPI

Sarah Anne Vansoest, DPT

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1689856569
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501013512 Issued in MI
Practice address
2816 East Beltline Lane NE
Grand Rapids, MI 49525-9432
Phone
(616) 361-1210
Fax
(616) 361-8662
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501013512 MI Primary

Addresses

Primary practice location

2816 East Beltline Lane NE
Grand Rapids, MI 49525-9432

Mailing address

2816 East Beltline Lane NE
Grand Rapids, MI 49525-9432
Phone (616) 361-1210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501013512MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Sport Physical Therapy Services Inc. Physical Therapist PastSince Nov 17, 2014 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1689856569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 EAST BELTLINE LANE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259432",
            "telephone_number": "616-361-1210",
            "fax_number": "616-361-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 EAST BELTLINE LANE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259432",
            "telephone_number": "616-361-1210",
            "fax_number": "616-361-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSOEST",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013512",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 3, 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.