Joshua Hanenburg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014787 Issued in MI

Practice address

5886 Venture Park Dr
Kalamazoo, MI 49009-1848

Phone

(269) 375-4737

Fax

(269) 375-4747

NPI assigned

Jan 27, 2012

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Colorado School of Medicine, Denver, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Good Life Therapy LLC 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Good Life Therapy LLC

  • Physical Therapy Clinic/Center
  • Grand Rapids, MI
  • NPI 1598169682

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1902178676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 LAKE DR SE",
            "address_2": "STE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061674",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5886 VENTURE PARK DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091848",
            "telephone_number": "269-375-4737",
            "fax_number": "269-375-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANENBURG",
        "first_name": "JOSHUA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikale Hampton
• Denise E Hancox, OCCUPATIONAL THERAPI
• Hand in Hand Couples & Family Therapy LLC
• Shane Bloom Handelsman
• Sarah Marian Handlogten, MNT
• Hanger Prosthetics & Orthotics East Inc
• Mitchell Hankerd, RD
• Charles Henry Hanks III
• Juton Hanks
• Lorraine D. Hanna, D.D.S.

• All providers in Kalamazoo, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.

Verify at the official NPI Registry.