Active NPI
Nicholas Thomas McBride, DPT
- Physical Therapist
- Byron Center, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016868
- Practice address
- 6500 Byron Center Ave SW Ste 202
Byron Center, MI 49315-9083 - Phone
- (616) 249-0750
- Fax
- (616) 249-0794
- NPI assigned
- Aug 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5501016868 | MI | |
| Physical Therapist | 225100000X | 5501016868 | MI | Primary |
Addresses
Primary practice location
6500 Byron Center Ave SW Ste 202
Byron Center, MI 49315-9083
Mailing address
2224 Vansingel Lake Dr SW
Byron Center, MI 49315-8091
Phone (616) 822-7890
Other practice location 1
11301 Commerce Dr
Allendale, MI 49401-8200
Phone (616) 531-5025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current | Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current | Accepting new patients |
| Center for Physical Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| Center for Physical Rehabilitation and Therapy LP | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710
10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Fowlerville, MI
- NPI 1669531166
-
- Durable Medical Equipment & Medical Supplies
- Dexter, MI
- NPI 1407525892
-
- Physical Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1902288863
Physical Therapist
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1568416337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1851870299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 VANSINGEL LAKE DR SW",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493158091",
"telephone_number": "616-822-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 BYRON CENTER AVE SW STE 202",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493159083",
"telephone_number": "616-249-0750",
"fax_number": "616-249-0794"
}
],
"practiceLocations": [
{
"address_1": "11301 Commerce Dr",
"address_purpose": "LOCATION",
"city": "Allendale",
"state": "MI",
"postal_code": "494018200",
"country_code": "US",
"telephone_number": "616-531-5025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCBRIDE",
"first_name": "NICHOLAS",
"middle_name": "THOMAS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "5501016868",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Byron Center, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.