Individual provider Active NPI

Amanda Rhoades-Rohner, DPT

  • Physical Therapist
  • Ionia, MI
National Provider Identifier
1992356026
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019373 Issued in MI
Practice address
3751 S State Rd
Ionia, MI 48846-9478
Phone
(616) 522-0066
Fax
(616) 527-1667
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501019373 MI Primary

Addresses

Primary practice location

3751 S State Rd
Ionia, MI 48846-9478

Mailing address

PO Box 776432
Chicago, IL 60677-6432
Phone (888) 317-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019373MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand River Physical Therapy Specialists PC Physical Therapist CurrentSince Feb 10, 2022 Accepting new patients

Locations

3751 S State Rd
Ionia, MI 48846
Phone (616) 522-0066

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1992356026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776432",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776432",
            "telephone_number": "888-317-2911",
            "fax_number": "405-792-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 S STATE RD",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488469478",
            "telephone_number": "616-522-0066",
            "fax_number": "616-527-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADES-ROHNER",
        "first_name": "AMANDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ionia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.