Roland George Neibarger

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502001341 Issued in MI

Practice address

15200 220TH Ave
Big Rapids, MI 49307-9233

Phone

(231) 592-0027

Fax

(231) 592-0723

NPI assigned

Dec 14, 2015

Last updated

Dec 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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 & Fitness Plus Inc.

  dba PT Plus

  • Physical Therapist
  • Big Rapids, MI
  • NPI 1972946291
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1760857957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 220TH AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079233",
            "telephone_number": "231-592-0027",
            "fax_number": "231-592-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 220TH AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079233",
            "telephone_number": "231-592-0027",
            "fax_number": "231-592-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIBARGER",
        "first_name": "ROLAND",
        "middle_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502001341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Kirstine Mortensen, MSW
• Jeffrey R Mossel, DPM
• Sommer J Myers
• Abigail Marie Myntti
• James Andrew Nash, OD
• James Nelson
• Kyle Nelson
• Bryan Edwards Nevins, D.D.S
• Jeanniene Sharen Nevins, D.D.S
• New Beginnings Mental Health Services, LLC

• Physical Therapy Assistant in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.