Primary Rehab Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRIMARY REHAB CENTER LLC

Practice address

2055 28TH St SE Ste 7
Grand Rapids, MI 49508

Phone

(616) 245-7013

Fax

(616) 245-7018

NPI assigned

Mar 2, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Maricarmen Ramirez

Title

Office Manager

Phone

(616) 245-7013

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Satya Ballard

  • Massage Therapist
  • Grand Rapids, MI
  • NPI 1164765558
  NPD (past)
• Rony Helmar Barillas, PTA

  • Physical Therapy Assistant
  • Grand Rapids, MI
  • NPI 1902231418
  NPD (past)
• Yoisler Herrera Sr., M.D

  • Rehabilitation Chiropractor
  • Grand Rapids, MI
  • NPI 1144568502
  NPD (past)

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1821362278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 28TH ST SE STE 7",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081582",
            "telephone_number": "616-245-7013",
            "fax_number": "616-245-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 28TH ST SE STE 7",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49508",
            "telephone_number": "616-245-7013",
            "fax_number": "616-245-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARICARMEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-245-7013",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Ashley Priest
• Jessica Ruth Collister Priestley, MD, PHD
• Jenna Marie Prieto
• Johnathan Prieur
• Primary Care Surgical PLLC
• Tracy Latawnia Primus, REGISTERED NURSE
• Jeanette Prince, MSW
• Kelsey Prince, FNP
• Samantha Prince
• Carlie Principi

• Physical Therapy Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.