Individual provider Active NPI

Brandon Michael Yuenger, PT

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1831438670
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016095 Issued in MI
Practice address
800 Monroe Ave NW Ste 320
Grand Rapids, MI 49503-1451
Phone
(734) 646-4221
Fax
(616) 319-4657
NPI assigned
Feb 13, 2013
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 5501016095 MI Primary

Addresses

Primary practice location

800 Monroe Ave NW Ste 320
Grand Rapids, MI 49503-1451

Mailing address

800 Monroe Ave NW Ste 320
Grand Rapids, MI 49503-1451
Phone (734) 646-4221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323002328 MI Practitioner - Physical Therapist in Private Practice 9032416730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 Hall St SW
Suite 185M
Grand Rapids, MI 49503-4988
Phone (734) 646-4221

550 Madison Ave SE
Grand Rapids, MI 49503-5314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501016095MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Forward Wellness LLC Physical Therapist CurrentSince Oct 18, 2022 Accepting new patients
Advent Rehabilitation, LLC Physical Therapist Past Accepting new patients
Advent Rehabilitation, LLC Physical Therapist PastSince Jul 19, 2021 Accepting new patients

Locations

401 Hall St SW
Ste 112E
Grand Rapids, MI 49503
Phone (616) 275-4846

401 Hall St SW
Ste 185M
Grand Rapids, MI 49503
Phone (734) 646-4221

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1831438670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MONROE AVE NW STE 320",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031451",
            "telephone_number": "734-646-4221",
            "fax_number": "616-319-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MONROE AVE NW STE 320",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031451",
            "telephone_number": "734-646-4221",
            "fax_number": "616-319-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUENGER",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-13",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2024; 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.