Jimmie James Anthony

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501007594 Issued in MI

Practice address

137 E Laketon Ave
Muskegon, MI 49442-5507

Phone

(231) 728-4102

Fax

(231) 722-0800

NPI assigned

Sep 5, 2007

Last updated

Sep 5, 2007By 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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• Lakeshore Rehabilitation Center PC

  dba West Michigan Sports Medicine Clinic

  • Physical Therapist
  • Muskegon, MI
  • NPI 1376604389
  NPD (past) Authorized official
• Longevity Restorative Rehabilitation Services, LLC

  • Physical Therapist
  • Muskegon, MI
  • NPI 1578796363
  Authorized official Same address or phone

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1780878561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 E LAKETON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425507",
            "telephone_number": "231-728-4102",
            "fax_number": "231-722-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E LAKETON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425507",
            "telephone_number": "231-728-4102",
            "fax_number": "231-722-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "JIMMIE",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Wings Home Care Services LLC
• Pamela Angel, RDH
• Jeffrey K Anhalt, D.O.
• Anne M Windberg
• Anne Marie Hancock, Ms, LLP, PLLC
• Mark Alan Apman, 4101006102
• Apple Denture Center of West Michigan
• Eric James Applebach, MD
• Appleview Women's Health Care, P.C.
• Frank Diether Aprile, CCP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.