MARJEANNE BOTHMA (NPI# 1063079390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063079390 |
| Entity Type | Individual |
| Full Name | MARJEANNE BOTHMA |
| Practice Address |
317 E Wackerly St Midland MI 48642-7062 |
| Practice Telephone | 9898329300 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5501019158 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
317 E WACKERLY ST |
| City | MIDLAND |
| State | MI |
| Zip Code | 48642-7062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801971858 | Saginaw Valley Sport & Spine Lp | Physical Therapist | 317 E Wackerly St, Midland, MI 48642-7062 | 2006-10-26 |
| 1437668050 | Kristie Mulder | Physical Therapist | 317 E Wackerly St, Midland, MI 48642-7062 | 2017-09-26 |
| 1982159893 | Merrick Lincoln | Physical Therapist | 317 E Wackerly St, Midland, MI 48642-7062 | 2016-08-20 |
| 1356799266 | Shane Jacob O'mara | Physical Therapist | 317 E Wackerly St, Midland, MI 48642-7062 | 2016-06-01 |
| 1043517840 | Jonathan Benjamin Roberson | Physical Therapist | 317 E Wackerly St, Midland, MI 48642-7062 | 2011-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1033762166 | Landon Reed | Occupational Therapist | 5600 Waldo Ave, Midland, MI 48642 | 2019-07-17 |
| 1609436062 | Rostam Adult and Pediatric Medicine Midland Pllc | Family Medicine | 801 Joe Mann Blvd, Suite H, Midland, MI 48642 | 2019-06-18 |
| 1194295758 | Shirley Curtiss | Behavior Technician | 3301 Ridgecrest Drive, Midland, MI 48642 | 2018-11-27 |
| 1396264768 | Emily Lipa | Behavior Technician | 3301 Ridgecrest Dr., Midland, MI 48642 | 2017-09-16 |
| 1366982381 | Alison Bressette | Behavior Technician | 337 Lemke St, Midland, MI 48642 | 2017-02-24 |
| 1376926162 | Aba Connections of Central Michigan, LLC | Behavioral Analyst | 3301 Ridecrest Dr, Midland, MI 48642 | 2015-06-30 |
| 1952724130 | Rachelle Mott | Registered Nurse | 218 Fast Ice Dr., Midland, MI 48642 | 2014-01-24 |
| 1407123482 | Community Mental Health for Central Michigan | Community/Behavioral Health | 218 Fast Ice Drive, Midland, MI 48642 | 2011-11-19 |
| 1225283534 | Audio-aid Rx | Hearing Aid Equipment | 6855 N. Eastman Ave., Midland, MI 48642 | 2008-12-01 |
| Find all providers in zip 48642 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1669768347 | Leonard William Gomez | Physical Therapist | 130 W Campbell Ct, Midland, MI 48642-3634 | 2011-06-22 |
| 1144706219 | Mary Katherine Nix | Physical Therapist | 3003 N A St, Midland, TX 79705-5304 | 2018-07-12 |
| 1497251300 | Maria Ogden Wilt | Physical Therapist | 304 W Wackerly St Ste 500, Midland, MI 48640-7264 | 2018-04-02 |
| 1528560836 | Kathleen Suzanne Rosen | Physical Therapist | 4401 Campus Ridge Dr Ste 1000, Midland, MI 48640-6125 | 2018-03-02 |
| 1447418462 | Susan Mae Sweeney | Physical Therapist | 2215 N Midland Dr, Suite 4a, Midland, TX 79707-5500 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851514 | Rebecca Marie Beery | Physical Therapist | 9551 Saline Waterworks Rd, Manchester, MI 48158-9728 | 2020-11-05 |
| 1861037921 | Jackson Hanks II | Physical Therapist | 2901 Commerce Xing, Commerce Township, MI 48390-3084 | 2019-11-13 |
| 1366084030 | Shelby Gusfa | Physical Therapist | 36622 Five Mile Rd Ste 102, Livonia, MI 48154-1900 | 2019-10-14 |
| 1881168078 | Jessie Lynn Lewis | Physical Therapist | 3315 E Michigan Ave Ste 4, Lansing, MI 48912-4649 | 2019-01-22 |
| 1063980373 | Fuel Physical Therapy & Sports Performance, LLC | Physical Therapist | 1139 Houseman Ave Ne, Grand Rapids, MI 49503-1229 | 2018-11-05 |
| 1386111243 | Your Alternative Pt, LLC | Physical Therapist | 640 Romence Rd Ste 111, Portage, MI 49024-3400 | 2018-10-30 |
| 1811472319 | Rachel E Michalski | Physical Therapist | 12150 30 Mile Rd Ste 102, Washington Township, MI 48095-2035 | 2018-10-01 |
| 1265916852 | Kelly Gotberg | Physical Therapist | 854 Washington Ave Ste 200, Holland, MI 49423-7143 | 2018-09-19 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1790272078 | Susan G Gall | Physical Therapist | 67267 S Main St, Richmond, MI 48062-1919 | 2018-04-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.