Active NPI
Janelle Engle
- Physical Therapy Assistant
- Kalamazoo, MI
National Provider Identifier
1760023253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- N900689.
- Practice address
- 5990 Venture Park Dr
Kalamazoo, MI 49009-1858 - Phone
- (855) 407-7575
- NPI assigned
- Oct 5, 2019
- Sex
- Female
- 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 Therapy Assistant | 225200000X | N900689. | MI | Primary |
Addresses
Primary practice location
5990 Venture Park Dr
Kalamazoo, MI 49009-1858
Mailing address
4794 Geneva Ave
Portage, MI 49024-3030
Phone (269) 364-1440
Other practice location 1
2775 E Lansing Dr
East Lansing, MI 48823-7755
Phone (517) 332-1616
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://hopenetwork.org/about-corporate/ |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N900689. | MI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Network - Rehabilitation Services | Current | Accepting new patients |
Locations
2775 E Lansing Dr
East Lansing, MI 48823
5990 Venture Park Dr
Kalamazoo, MI 49009
Phone (269) 492-7842
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.
-
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Grand Rapids, MI
- NPI 1528043544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570233600000",
"number": "1760023253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4794 GENEVA AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490243030",
"telephone_number": "269-364-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5990 VENTURE PARK DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490091858",
"telephone_number": "855-407-7575"
}
],
"practiceLocations": [
{
"address_1": "2775 E Lansing Dr",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488237755",
"country_code": "US",
"telephone_number": "517-332-1616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENGLE",
"first_name": "JANELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-05",
"last_updated": "2019-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "N900689.",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://hopenetwork.org/about-corporate/",
"affiliation": "N",
"endpointDescription": "Hope Network email",
"address_1": "5990 Venture Park Dr",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490091858",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.