Organization Active NPI

Calvin Spaud, Inc

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1932575412
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CALVIN SPAUD, INC
Practice address
1310 E. Beltline Ave SE
Suite 230
Grand Rapids, MI 49506-4304
Phone
(616) 288-3732
Fax
(616) 288-9857
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Sally Vanderploeg
Title
Vice President
Phone
(616) 288-3732

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1310 E. Beltline Ave SE
Suite 230
Grand Rapids, MI 49506-4304

Mailing address

1310 E. Beltline Ave SE
Suite 230
Grand Rapids, MI 49506-4304
Phone (616) 288-3732

Other names 1

  • Calvin College Rehabilitation Services Doing business as

National Provider Directory

National Provider Directory

Locations

1310 E Beltline Ave SE
Ste 230
Grand Rapids, MI 49506
Phone (616) 288-3732

3195 Knight Way SE
Ste 137
Grand Rapids, MI 49546
Phone (616) 288-3732

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1932575412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E. BELTLINE AVE SE",
            "address_2": "SUITE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064304",
            "telephone_number": "616-288-3732",
            "fax_number": "616-288-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E. BELTLINE AVE SE",
            "address_2": "SUITE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064304",
            "telephone_number": "616-288-3732",
            "fax_number": "616-288-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN SPAUD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "VANDERPLOEG",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "616-288-3732"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvin College Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.