Anthony Woodard
Individual provider Active NPI Physical Therapist · Grand Rapids, MI
NPI 1750002622 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1750002622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501301842 (MI)
- Practice address
- 1840 Wealthy St SE
Grand Rapids, MI 49506-2921 - Phone
- (616) 774-7444
- NPI assigned
- Sep 8, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Western Michigan Un Homer Stryker School of Med, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amerifirst Physical Therapy and Wellness LLC
Practice addresses (Care Compare)
1366 Baldwin St
Jenison, MI 49428-8937
Phone (269) 290-4410
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221007002012 | MI | Practitioner - Physical Therapist in Private Practice | 1658757000 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amerifirst Physical Therapy and Wellness LLC | Physical Therapist | Current |
Accepting new patients |
| Home Connection Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Thrive PT Group, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1366 Baldwin St
Jenison, MI 49428
Phone (269) 290-4410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501301842 | MI | Yes |
Addresses
Primary practice location
1840 Wealthy St SE
Grand Rapids, MI 49506-2921
Mailing address
6069 Ridgeview Dr
Norton Shores, MI 49441-6143
Phone (231) 670-7408
Other providers in Grand Rapids, MI
- Richard E Wood
- Shelli Marie Wood
- Taylor Wood
- Taylor Caitlin Wood
- Taylor M Wood
- Zackary Douglas Woodard
- Emily Woodcock
- Adelyn Wooden
- Woodland Chiropractic PLLC
- Sydney Jade Woodman
All providers in Grand Rapids, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.