Gateway Hand Therapy LLC

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

5201001229 Issued in MI

Legal business name

GATEWAY HAND THERAPY LLC

Practice address

3739 Baldwin St
Hudsonville, MI 49426-9733

Phone

(616) 209-4429

Fax

(616) 432-2247

NPI assigned

Oct 26, 2015

Organization subpart

No

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

Authorized official

Name

Mary Lynn Kleis, OTR/L CHT CLT

Title

Authorized Official

Phone

(616) 209-4429

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1790157097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 BALDWIN ST",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494269733",
            "telephone_number": "616-209-4429",
            "fax_number": "616-432-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 BALDWIN ST",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494269733",
            "telephone_number": "616-209-4429",
            "fax_number": "616-432-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY HAND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "KLEIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "616-209-4429",
        "authorized_official_credential": "OTR/L CHT CLT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": "5201001229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0G00491",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790157097",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guy Richard Flom, LLC
• Kristina Fordon, OTR/L
• Christy Gage
• Paul D Gammage, OD
• Heather Gannon
• Heather L. Geisel, MA., LLPC
• Thomas Greidanus
• Ty Griffith, DPT
• Courtney Grysen
• Sarah Guthrey, PT, DPT

• Hand Occupational Therapist in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• Hand Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.