Active NPI
Robin Isaacs, PT
- Physical Therapist
- Spring Lake, MI
National Provider Identifier
1700863370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501006842
- Practice address
- 17210 Van Wagoner Rd
Spring Lake, MI 49456-9702 - Phone
- (616) 402-3419
- Fax
- (616) 935-3535
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501006842 | MI | Primary |
Addresses
Primary practice location
17210 Van Wagoner Rd
Spring Lake, MI 49456-9702
Mailing address
17210 Van Wagoner Rd
Spring Lake, MI 49456-9702
Phone (616) 402-3419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17210 Van Wagoner Rd
Spring Lake, MI 49456-9702
Phone (616) 296-2262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501006842 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PTX Physical Therapy, LLC | Current | Accepting new patients |
Locations
17210 Van Wagoner Rd
Spring Lake, MI 49456
Phone (616) 296-2262
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.
-
- Physical Therapy Clinic/Center
- Spring Lake, MI
- NPI 1609365550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1700863370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17210 VAN WAGONER RD",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494569702",
"telephone_number": "616-402-3419",
"fax_number": "616-935-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17210 VAN WAGONER RD",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494569702",
"telephone_number": "616-402-3419",
"fax_number": "616-935-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "ROBIN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501006842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.