Joseph Witte, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501001790 Issued in MI

Practice address

3355 Eagle Park Dr NE
Grand Rapids, MI 49525-7004

Phone

(616) 334-2615

Fax

(616) 667-9552

NPI assigned

May 5, 2009

Last updated

Apr 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1922232966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CARLTON AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061609",
            "telephone_number": "616-334-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 EAGLE PARK DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257004",
            "telephone_number": "616-334-2615",
            "fax_number": "616-667-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501001790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Scott Witherell, MD
• Kimberly Ranee Withers, BS, COTAL
• Joshua Dennis Witherspoon, NP
• Christopher Thomas Witmer, MPA
• Katie Witt
• Julia Ann Witte, WHNP-BC
• Kristin Witte, PA-C
• Mason Jon Witte, NP
• Stephanie Kathleen Rees Witte, MD
• Morgan Anne Wittenbach, BT

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

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