Organization Active NPI

Health Motion Physical Therapy Services Inc

  • Physical Therapy Clinic/Center
  • Kentwood, MI
National Provider Identifier
1992817316
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HEALTH MOTION PHYSICAL THERAPY SERVICES INC
Practice address
3826 44TH St SE
Kentwood, MI 49512-3919
Phone
(616) 554-0918
Fax
(616) 554-3079
NPI assigned
Aug 31, 2006
Last updated
Jul 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Mrs. Mara Deboer
Title
Owner
Phone
(616) 554-0918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3826 44TH St SE
Kentwood, MI 49512-3919

Mailing address

3826 44TH St SE
Kentwood, MI 49512-3919
Phone (616) 554-0918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826000812 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981679743 Receives reassigned benefits from 3 practitioners
Practice locations: Kentwood, MI

National Provider Directory

National Provider Directory

Locations

3001 Fuller Ave NE
Ste 3
Grand Rapids, MI 49505
Phone (616) 451-4284

428 Bridge St NW
Grand Rapids, MI 49504
Phone (616) 451-4284

3826 44th St SE
Kentwood, MI 49512
Phone (616) 451-4284

8450 Algoma Ave NE
Ste Aaa
Rockford, MI 49341
Phone (616) 863-9731

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1992817316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 44TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495123919",
            "telephone_number": "616-554-0918",
            "fax_number": "616-554-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 44TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495123919",
            "telephone_number": "616-554-0918",
            "fax_number": "616-554-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MOTION PHYSICAL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "DEBOER",
        "authorized_official_first_name": "MARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-554-0918",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.