Pamela Sue Albrecht, MSPT
Individual provider Active NPI Physical Therapist · Grand Rapids, MI
NPI 1780678482 · NPPES record last updated Nov 17, 2010
Key facts
- NPI
- 1780678482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501010000 (MI)
- Practice address
- 1111 Leffingwell Ave NE
Suite 100
Grand Rapids, MI 49525-6406 - Phone
- (616) 459-7101
- NPI assigned
- Sep 8, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501010000 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Goetze Physical Therapy, Inc | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501010000 | MI | Yes |
Addresses
Primary practice location
1111 Leffingwell Ave NE
Suite 100
Grand Rapids, MI 49525-6406
Mailing address
Dept. 6063
P.O. Box 30516
Lansing, MI 48909
Phone (616) 459-7101
Other providers in Grand Rapids, MI
- Jamie Albert
- David Lee Alberta
- Denise Alberts
- Alexander Jay Albrecht
- Lucas Albrecht
- Ryan Michael Albrecht I
- Sherilyn Munoz Albrecht
- Ashlyn Renee Albright
- Katherine J Albright
- Paul Jerome Albright
All providers in Grand Rapids, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2010. 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.