Individual provider Active NPI

Julie Middleton

  • Physical Therapist
  • Byron Center, MI
National Provider Identifier
1811498363
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018427 Issued in MI
Practice address
2373 64TH St SW Ste 2100
Byron Center, MI 49315-7976
Phone
(616) 235-3970
Fax
(616) 304-0480
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018427 MI Primary

Addresses

Primary practice location

2373 64TH St SW Ste 2100
Byron Center, MI 49315-7976

Mailing address

5300 Tahoe Pine CT SW
Wyoming, MI 49519-9608
Phone (616) 558-7108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204000363 MI Practitioner - Physical Therapist in Private Practice 0244574119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advent Rehabilitation, LLCGroup PAC ID 9537070545, 57 clinicians

Practice addresses (Care Compare)

2373 64TH St SW
Suite 2100
Byron Center, MI 49315-7976
Phone (616) 235-3970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advent Rehabilitation, LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Advent Rehabilitation, LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Kentwood Physical Therapy, PLLC Physical Therapist CurrentSince Nov 5, 2018 Accepting new patients

Locations

6745 Fulton St E
Ste D
Ada, MI 49301
Phone (616) 274-1014

2373 64th St SW
Ste 2100
Byron Center, MI 49315
Phone (616) 235-3970

10047 Crossroad Ct SE
Ste 150
Caledonia, MI 49316
Phone (616) 233-3597

6101 Kalamazoo Ave SE
Ste B
Grand Rapids, MI 49508
Phone (616) 483-3478

1761 W M 43 Hwy
Hastings, MI 49058
Phone (269) 945-3888

1423 60th St SE
Kentwood, MI 49508
Phone (616) 446-9058

2080 44th St SE
Ste 150
Kentwood, MI 49508
Phone (616) 233-3590

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1811498363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 TAHOE PINE CT SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199608",
            "telephone_number": "616-558-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 64TH ST SW STE 2100",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493157976",
            "telephone_number": "616-235-3970",
            "fax_number": "616-304-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.