Individual provider Active NPI

Janelle Engle

  • Physical Therapy Assistant
  • Kalamazoo, MI
National Provider Identifier
1760023253
Registry record updated Oct 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
N900689. Issued in MI
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

Updated by the provider on Oct 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
N900689.MIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Network - Rehabilitation Services CurrentSince Oct 13, 2019 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.

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.

Verify at the official NPI Registry.