First Rehab & Sport
Organization Active NPI Physical Therapy Clinic/Center · Middleville, MI
NPI 1861830705 · NPPES record last updated Jul 5, 2022
Key facts
- NPI
- 1861830705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- FIRST REHAB & SPORT
- Practice address
- 4624 N M 37 Hwy Ste a
Middleville, MI 49333-8163 - Phone
- (269) 795-4230
- Fax
- (269) 795-4191
- NPI assigned
- Jun 13, 2013
- Organization subpart
- No
Authorized official
- Name
- Lindsay Vertalka, MSPT, PT
- Title
- President, Clinical Director
- Phone
- (269) 795-4230
Practitioners 9
-
Cody Brumm, PT, DPT, AT, ATC
-
Sarah Klassen, DPT
-
Makenzy Veldhuizen, DPT
-
Lindsay Vertalka, MPT
-
Jonathan Boutni, PT
-
Adam Jay Krol, DPT, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130919000477 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7214171925 |
Receives reassigned benefits from 8 practitioners Practice locations: Hastings, MI; Middleville, MI |
National Provider Directory
Locations
2169 W M 43 Hwy
Ste C
Hastings, MI 49058
Phone (269) 309-1090
2169 W M 43 Hwy
Ste Cd
Hastings, MI 49058
Phone (269) 309-1090
4624 N M 37 Hwy
Ste A
Middleville, MI 49333
Phone (269) 795-4230
4624 N M 37 Hwy
Ste D
Middleville, MI 49333
Phone (269) 795-4230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
4624 N M 37 Hwy Ste a
Middleville, MI 49333-8163
Mailing address
PO Box 218
Middleville, MI 49333-0218
Phone (269) 795-4230
Other practice location 1
2169 W M 43 Hwy Ste C
Hastings, MI 49058-8667
Phone (269) 309-1090
Other providers in Middleville, MI
- Elizabeth Marie Dedoe
- Erin Diephouse
- Mary Jo Drueke
- Mark Francis Dzik
- Aubree Ellison
- First Rehab Physical Therapy P.C.
- Jaci Lenaye Fischer
- Fox Holes Home, Inc.
- Matthew Risk Garber
- Gateway Transportation LLC
All providers in Middleville, MI · Physical Therapy Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.