DIVERSIFIED PHYSICAL THERAPY (NPI# 1447443072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447443072 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED PHYSICAL THERAPY |
| Practice Address |
1595 W Sherman Blvd Muskegon MI 49441-3542 |
| Mailing Address |
4358 Carolyn St Muskegon MI 49444-4468 |
| Practice Telephone | 2317554404 |
| Practice Fax Number | 2317557704 |
| Mailing Telephone | 2317554404 |
| Mailing Fax Number | 2317557704 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-09-26 |
| Authorized Official Name | MR. KEVIN E SPRAGUE (CO-OWNER) |
| Authorized Official Telephone | 2317554404 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501006200 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1595 W SHERMAN BLVD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49441-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306982079 | Kevin E Sprague | Contractor | 1595 W Sherman Blvd, Muskegon, MI 49441-3542 | 2007-01-30 |
| 1669908315 | Rachel Marie Glavich | Social Worker | 1595 W Sherman Blvd, Muskegon, MI 49441-3542 | 2017-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669031456 | Rilie Nicole Du Shane | Physical Therapist | 6022 Harvey St Ste H, Muskegon, MI 49444-8802 | 2019-06-06 |
| 1215438932 | Christine Beach | Physical Therapist | 1500 E Sherman Blvd Ste 125, Muskegon, MI 49444-1849 | 2018-02-27 |
| 1538472279 | Pro Motion Therapy, LLC | Physical Therapist | 885 Oakridge Rd, Muskegon, MI 49441-4023 | 2010-07-22 |
| 1982939633 | Jamie Sue Bennett | Physical Therapist | 2073 Holton Rd, Muskegon, MI 49445-1535 | 2009-10-14 |
| 1164666764 | Ronda Gail Chapman | Physical Therapist | 1380 E Sherman Blvd Ste B, Muskegon, MI 49444-1814 | 2009-04-27 |
| 1679743892 | Linda M Vandyke | Physical Therapist | 1471 Getz Rd, Muskegon, MI 49441-5725 | 2008-03-04 |
| 1205038759 | Ann Louise-tardani Rennells | Physical Therapist | 885 Oak Ridge Rd, Muskegon, MI 49441-4023 | 2007-06-05 |
| 1376604389 | Lakeshore Rehabilitation Center PC | Physical Therapist | 137 E Laketon Ave, Muskegon, MI 49442-5507 | 2006-12-13 |
| 1457447039 | Daniel A Conklin | Physical Therapist | 955 W Norton Avenue, Muskegon, MI 49441-1848 | 2006-10-04 |
| 1891898763 | Randall R Prince | Physical Therapist | 2045 Holton Rd, Muskegon, MI 49445-1535 | 2006-09-06 |
| Find all providers in MUSKEGON | ||||
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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.