Active NPI
Kasim LTD
Doing business as Comprehensive Physical Therapy Center
- Physical Therapy Clinic/Center
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3343400 | Medicaid | MI | |
| 30656 | Other | MI | BLUE CROSS BLUE SHIELD |
Other names 1
- Comprehensive Physical Therapy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070503000153 | MI | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 0345346656 | Practice locations: Hamtramck, MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Grand Rapids, MI
- NPI 1114128097
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1023510815
-
- Physical Therapist
- Holland, MI
- NPI 1598999278
-
- Family Medicine Physician
- Grand Rapids, MI
- NPI 1174581300
-
- Physician Assistant
- Caledonia, MI
- NPI 1487860466
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1386849875
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.