Active NPI
David A Asselin, PT, DPT
- Physical Therapist
- Grand Rapids, MI
National Provider Identifier
1740466911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501013640
- Practice address
- 1502 Wealthy Street SE
Grand Rapids, MI 49506 - Phone
- (616) 456-0360
- Fax
- (616) 456-0361
- NPI assigned
- Jan 17, 2008
- Last updated
- Apr 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 5501013640 | MI | Primary |
Addresses
Primary practice location
1502 Wealthy Street SE
Grand Rapids, MI 49506
Mailing address
1502 Wealthy St SE
Grand Rapids, MI 49506-2719
Phone (616) 456-0360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501013640 | Other | MI | PHYSICAL THERAPY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501013640 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Motion Physical Therapy Services Inc | Physical Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Kentwood, MI
- NPI 1992817316
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1740466911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 WEALTHY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495062719",
"telephone_number": "616-456-0360",
"fax_number": "616-456-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 WEALTHY STREET SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49506",
"telephone_number": "616-456-0360",
"fax_number": "616-456-0361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASSELIN",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-17",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501013640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "5501013640",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
- Brittney Marie Ashley
- Steven Ashmead, MD
- Amal Ashraf, M.D.
- Alicia Ashton-Mayer, DC
- Mark S Asperheim, MD
- Murwarid Mura Assifi, MD
- Assisted Non Emergency Transport LLC
- Associated Retinal Consultants, PC
- Associates in Obstetrics Gynecology & Infertility, PC
- Association for the Blind & Visually Impaired
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.