Organization Active NPI

Kasim LTD

Doing business as Comprehensive Physical Therapy Center

  • Physical Therapy Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1811948953
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KASIM LTD
Doing business as
Comprehensive Physical Therapy Center
Practice address
1550 3 Mile Rd NW
Suite B
Grand Rapids, MI 49544-8251
Phone
(616) 785-8535
Fax
(616) 785-1201
NPI assigned
May 13, 2006
Last updated
Dec 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Mrs. Michelle R Bent
Title
Business Manager
Phone
(616) 785-8535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1550 3 Mile Rd NW
Suite B
Grand Rapids, MI 49544-8251

Mailing address

1550 3 Mile Rd NW
Suite B
Grand Rapids, MI 49544-8251
Phone (616) 785-8535

Other identifiers 2

IdentifierTypeStateIssuer
3343400MedicaidMI
30656OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Comprehensive Physical Therapy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070503000153 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0345346656 Practice locations: Hamtramck, MI

National Provider Directory

National Provider Directory

Locations

14825 Southfield Rd
Ste B
Allen Park, MI 48101
Phone (313) 388-2853

345 Main St
Coopersville, MI 49404
Phone (231) 755-1388

1550 3 Mile Rd NW
Ste B
Grand Rapids, MI 49544
Phone (616) 785-8535

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1811948953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 3 MILE RD NW",
            "address_2": "SUITE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448251",
            "telephone_number": "616-785-8535",
            "fax_number": "616-785-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 3 MILE RD NW",
            "address_2": "SUITE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448251",
            "telephone_number": "616-785-8535",
            "fax_number": "616-785-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASIM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "BENT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "616-785-8535",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3343400",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30656",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Physical Therapy Center",
            "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 Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.