Colin Roger Remtema, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019394 Issued in MI

Practice address

65 S Main St Ste C
Rockford, MI 49341-1287

Phone

(168) 668-0846

Fax

(616) 866-8085

NPI assigned

Nov 5, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoreline Sport and Spine PLLCGroup PAC ID 4284673575, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shoreline Sport & Spine PLLC

  • Physical Therapist
  • Spring Lake, MI
  • NPI 1225040694
  Medicare reassignment Care Compare group NPD
• Shoreline Sport & Spine PLLC

  • Physical Therapist
  • Muskegon, MI
  • NPI 1619787959
  NPD

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1780228502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 COVE ST STE 202",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561383",
            "telephone_number": "616-847-1280",
            "fax_number": "616-847-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 S MAIN ST STE C",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411287",
            "telephone_number": "168-668-0846",
            "fax_number": "616-866-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMTEMA",
        "first_name": "COLIN",
        "middle_name": "ROGER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5501019394",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jilian Santander Rakow
• Mia K Rambo, BEHAVIOR TECHNICIAN
• Ryleigh Kay Reagan, BEHAVIOR TECHNICIAN
• Michael James Redell
• Breyanah Joy Reister
• Resilience Osteopathy P.L.L.C.
• Jaime Richardson, OT
• Joshua Richter
• Delanie Riebschleger
• Ronald P Riebschleger, DDS

• Physical Therapist in Rockford, MI
• Providers in Rockford, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.