NPIMap

Organization Active NPI

Apogee Therapy Center, LLC

  • Physical Therapist
  • Grandville, MI
National Provider Identifier
1972860252
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
APOGEE THERAPY CENTER, LLC
Practice address
3010 Wilson Ave SW
Grandville, MI 49418-1242
Phone
(616) 820-9566
NPI assigned
Apr 11, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jeffrey Scott CarterNPI 1891754503
Title
Owner, PT
Phone
(616) 249-8141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MI Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

3010 Wilson Ave SW
Grandville, MI 49418-1242

Mailing address

3010 Wilson Ave SW
Grandville, MI 49418-1242
Phone (616) 820-9566

Other practice location 1

1904 Roper Mountain Rd Ste B
Greenville, SC 29615-7114
Phone (864) 609-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121113000588 MI Part B Supplier - Clinic/Group Practice 4880845122 Receives reassigned benefits from 1 practitioner
Practice locations: Grandville, MI
O20160815000560 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880845122 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC; Spartanburg, SC

National Provider Directory

National Provider Directory

Locations

3010 Wilson Ave SW
Grandville, MI 49418
Phone (616) 249-8141

1904 Roper Mountain Rd
Ste B
Greenville, SC 29615
Phone (864) 609-4006

435 E Main St
Ste 3
Spartanburg, SC 29302
Phone (864) 541-7321

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972860252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181242",
            "telephone_number": "616-820-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181242",
            "telephone_number": "616-820-9566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 Roper Mountain Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296157114",
            "country_code": "US",
            "telephone_number": "864-609-4006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APOGEE THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "616-249-8141"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.