Active NPI
Zachary Russell Smrcina, ATC
- Physical Therapist
- Caledonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501303437
- Practice address
- 9028 N Rodgers Dr
Suite J
Caledonia, MI 49316 - Phone
- (616) 891-0600
- Fax
- (616) 965-2475
- NPI assigned
- Dec 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501303437 | MI | Primary |
Addresses
Primary practice location
9028 N Rodgers Dr
Suite J
Caledonia, MI 49316
Mailing address
PO Box 30516
Dept 5300
Lansing, MI 48909
Phone (914) 294-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508-3712
Phone (616) 281-1144
5819 Balsam Dr
Hudsonville, MI 49426-1104
Phone (616) 209-5435
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501303437 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hulst Jepsen Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Michigan, LLC | Physical Therapist | Current | Accepting new patients |
| Northern Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| Ivyrehab Northern PT, LLC | Past | Accepting new patients |
Locations
9321 Cherry Valley Ave SE
Ste D
Caledonia, MI 49316
Phone (616) 536-9339
9028 N Rodgers Ct SE
Ste J
Caledonia, MI 49316
Phone (616) 890-0600
2120 43rd St SE
Ste 100
Grand Rapids, MI 49508
Phone (616) 281-1144
1264 Plainfield Ave NE
Grand Rapids, MI 49505
Phone (616) 888-7993
7559 36th Ave
Hudsonville, MI 49426
Phone (616) 369-0440
135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272
6575 Belding Rd NE
Ste B
Rockford, MI 49341
Phone (616) 317-8048
Organizations & group practices 4
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.
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- NPI 1104337120
Physical Therapist
-
- Physical Therapy Clinic/Center
- Sparta, MI
- NPI 1972592525
-
- Physical Therapy Clinic/Center
- Lyndonville, VT
- NPI 1164509980
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1992344949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30516",
"address_2": "DEPT 5300",
"city": "LANSING",
"state": "MI",
"postal_code": "48909",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9028 N RODGERS DR",
"address_2": "SUITE J",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "49316",
"telephone_number": "616-891-0600",
"fax_number": "616-965-2475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMRCINA",
"first_name": "ZACHARY",
"middle_name": "RUSSELL",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-21",
"last_updated": "2025-01-23",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501303437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caledonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.