NPIMap

Organization Active NPI

Spectrum Health Worth Services

Doing business as Spectrum Health Neuro Rehab Services-Rehab

  • Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1811209638
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SPECTRUM HEALTH WORTH SERVICES
Doing business as
Spectrum Health Neuro Rehab Services-Rehab
Practice address
4500 Breton Rd SE
Samil Code 159
Grand Rapids, MI 49508-5290
Phone
(616) 391-5732
Fax
(616) 391-5731
NPI assigned
Jul 9, 2010
Last updated
Jul 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Mr. Lawrence J Oberst, CPA
Title
SHCC/Director of Finance
Phone
(616) 486-2405

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227800000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

4500 Breton Rd SE
Samil Code 159
Grand Rapids, MI 49508-5290

Mailing address

4500 Breton Rd SE
Samil Code 159
Grand Rapids, MI 49508-5290
Phone (616) 391-5732

Other names 1

  • Spectrum Health Neuro Rehab Services-Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Health Neuro Rehab Services-Rehab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4500 Breton Rd SE
#159
Grand Rapids, MI 49508
Phone (616) 391-5732

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1811209638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BRETON RD SE",
            "address_2": "SAMIL CODE 159",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085290",
            "telephone_number": "616-391-5732",
            "fax_number": "616-391-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BRETON RD SE",
            "address_2": "SAMIL CODE 159",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085290",
            "telephone_number": "616-391-5732",
            "fax_number": "616-391-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH WORTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "OBERST",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SHCC/DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "616-486-2405",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "227800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Health Neuro Rehab Services-Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.