Melinda Ann Adema, PTA
Individual provider Active NPI Physical Therapy Assistant · Grand Rapids, MI
NPI 1760098149 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1760098149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5502000219 (MI)
- Practice address
- 4450 Cascade Rd SE Ste 200
Grand Rapids, MI 49546-3633 - Phone
- (616) 965-9562
- NPI assigned
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502000219 | MI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502000219 | MI | Yes |
Addresses
Primary practice location
4450 Cascade Rd SE Ste 200
Grand Rapids, MI 49546-3633
Mailing address
2156 Valley Forge St NW
Grand Rapids, MI 49504-5952
Phone (616) 450-6891
Other providers in Grand Rapids, MI
- Dane Michael Addington
- Emily Jane Addington
- Address Healthcare of Michigan PLLC
- Akuorkor A Addy
- Adelante Counseling LLC
- Olusanjo Olaoluwa Adeoye
- Olivia Rachel Adgate
- Sarah Jean Adkison
- Andrea C Adler
- Ado Medical, PC
All providers in Grand Rapids, MI · Physical Therapy Assistant 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 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.