Douglas Craig Sjoerdsma Jr., DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501018172 Issued in MI

Practice address

245 Cherry St SE
Grand Rapids, MI 49503-4607

Phone

(616) 685-6670

NPI assigned

Mar 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1831691138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SUNNYBROOK DR SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHERRY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034607",
            "telephone_number": "616-685-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJOERDSMA",
        "first_name": "DOUGLAS",
        "middle_name": "CRAIG",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501018172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sreehari Sivasubramanian
• Paige Siver
• Megan E Six, MA, LLMFT
• Renee Leigh Sizemore, LPN
• Ashley Nicole Sjoerdsma, LMSW
• SJR Therapy PLLC
• Christina Skammel
• Sarah Rosanne Skavnak, NP
• Ketzel Skazalski
• Kyleigh Kay Skedgell, PHD

• Orthopedic Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.