Morgan Paige Ballmann, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502004996

Practice address

4150 Kalamazoo Ave. SE
Grand Rapids, MI 49508

Phone

(616) 913-2006

Fax

(616) 913-2005

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Morgan Paige Lennox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Care Resources

  • Adult Day Care Clinic/Center
  • Grand Rapids, MI
  • NPI 1679622369
  NPD

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1881208809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 KALAMAZOO AVE. SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49508",
            "telephone_number": "616-913-2006",
            "fax_number": "616-913-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 KALAMAZOO AVE. SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49508",
            "telephone_number": "616-913-2006",
            "fax_number": "616-913-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLMANN",
        "first_name": "MORGAN",
        "middle_name": "PAIGE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": "5502004996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "LENNOX",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Satya Ballard
• Stephanie Ann Ballard, MS OTR/L
• Alec Ballesteros, DO
• Julie Kay Balliet, RPH
• Kent James Balliet, RPH
• Gregory Scott Balloid, NP
• Jean Ann Ballweg, M.D.
• Tyler Ballweg
• George John Balogh, MD
• Vivek Baluja, M.D.

• Physical Therapy Assistant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.