Active NPI
Anna Nguyen
- Physical Therapist
- Hudsonville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501303488
- Practice address
- 5819 Balsam Dr
Hudsonville, MI 49426-1104 - Phone
- (616) 209-5435
- NPI assigned
- Oct 8, 2024
- Last updated
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501303488 | MI | Primary |
Addresses
Primary practice location
5819 Balsam Dr
Hudsonville, MI 49426-1104
Mailing address
PO Box 30516
Dept 5300
Lansing, MI 48909
Phone (616) 608-9979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508-3712
Phone (616) 281-1144
454 Baypark Dr
Suite 10
Holland, MI 49424-2037
Phone (616) 537-6613
5819 Balsam Dr
Hudsonville, MI 49426-1104
Phone (616) 209-5435
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hulst Jepsen Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
2120 43rd St SE
Ste 100
Grand Rapids, MI 49508
Phone (616) 281-1144
5819 Balsam Dr
Hudsonville, MI 49426
Phone (616) 209-5435
Organizations & group practices 2
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.
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1609957760
-
- Physical Therapy Clinic/Center
- Holland, MI
- NPI 1720884455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1851110720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30516",
"address_2": "DEPT 5300",
"city": "LANSING",
"state": "MI",
"postal_code": "48909",
"telephone_number": "616-608-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5819 BALSAM DR",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494261104",
"telephone_number": "616-209-5435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501303488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudsonville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.