Kimberly Sue Gruppen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502003637 Issued in MI

Practice address

1195 Port Sheldon St
Georgetown Township, MI 49428-9341

Phone

(616) 457-2200

NPI assigned

Oct 22, 2026

Last updated

Oct 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1730086802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9676 BINGHAM ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494649464",
            "telephone_number": "616-928-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 PORT SHELDON ST",
            "city": "GEORGETOWN TOWNSHIP",
            "state": "MI",
            "postal_code": "494289341",
            "telephone_number": "616-457-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUPPEN",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502003637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Marie Boeve
• Karis Nicole Ferland
• Perla Gomez
• Nicole Elizabeth Huber, LLMSW
• Lydia Kirkpatrick, MA CCC-SLP
• Tranquil Tides

• Physical Therapy Assistant in Georgetown Township, MI
• Providers in Georgetown Township, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.