Ghost Rehab and Performance PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GHOST REHAB AND PERFORMANCE PC

Practice address

566 100TH St SW
Byron Center, MI 49315-8498

Phone

(616) 239-8466

NPI assigned

Dec 26, 2024

Last updated

Dec 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamie Phillips, PT, DPT, MSNPI 1285442285

Title

Owner

Phone

(616) 239-8466

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie Phillips, PT, DPT, MS

  • Physical Therapist
  • Byron Center, MI
  • NPI 1285442285
  NPD Authorized official

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1780492454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 100TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158498",
            "telephone_number": "616-239-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 100TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158498",
            "telephone_number": "616-239-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHOST REHAB AND PERFORMANCE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-239-8466",
        "authorized_official_credential": "PT, DPT, MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary James Gassel, RPH
• Alivia Paige Gast
• Ashley Brooke Gavin, NP
• Ryan Penning Genzink, P.A.
• Jamal Ghazi
• McKenzie Gibson
• Stephen Eric Gillich, RPH
• Stacy Walton Goldsholl, MD
• Rebecca Gomez de Tuinstra, PHD
• Good Samaritans Medical Transport LLC

• Physical Therapist in Byron Center, MI
• Providers in Byron Center, 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 26, 2024; 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.