GOOD LIFE THERAPY LLC (NPI# 1598169682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598169682 |
| Entity Type | Organization |
| Organization Name | GOOD LIFE THERAPY LLC |
| Practice Address |
1331 Lake Dr Se Suite 105 Grand Rapids MI 49506-1674 |
| Practice Telephone | 6162489842 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2015-06-15 |
| Authorized Official Name | RYAN S GARY (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 6162489842 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1331 LAKE DR SE SUITE 105 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063538593 | Charles Henry Ridder | Social Worker | 1331 Lake Dr Se, Grand Rapids, MI 49506-1674 | 2007-03-22 |
| 1417401027 | Adam Long | Physical Therapist | 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506-1674 | 2016-08-11 |
| 1841642816 | Grant Stevens | Physical Therapist | 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506-1674 | 2016-07-01 |
| 1003247891 | Ryan Sanders Gary | Physical Therapist | 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506-1674 | 2013-12-05 |
| 1194154062 | Jodi Marie Douse | Occupational Therapist | 1331 Lake Dr Se, Grand Rapids, MI 49506-1674 | 2013-11-01 |
| 1184974271 | Gail Ann O'rourke | Speech-Language Pathologist | 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506-1674 | 2012-09-15 |
| 1619247962 | Stacy Pulley | Speech-Language Pathologist | 1331 Lake Dr Se, Grand Rapids, MI 49506-1674 | 2012-01-04 |
| 1578847810 | Ann Venema | Specialist | 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506-1674 | 2011-10-05 |
| 1952563017 | Jill Nicole Miller | Speech-Language Pathologist | 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506-1674 | 2008-06-30 |
| 1801014220 | Rebecca Mae Clodfelder Moorehead | Social Worker | 1331 Lake Dr Se, Grand Rapids, MI 49506-1674 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821362278 | Primary Rehab Center LLC | Clinic/Center | 2055 28th St Se Ste 7, Grand Rapids, MI 49508 | 2012-03-02 |
| 1417183971 | Agility Health Rehabilitation LLC | Clinic/Center | 607 Dewey Ave Nw, Suite 300, Grand Rapids, MI 49504-7335 | 2009-06-10 |
| 1386739738 | Physiotherapy Associates Inc | Clinic/Center | 515 Michigan St Ne, Grand Rapids, MI 49503-5721 | 2006-10-03 |
| 1346719234 | Dynamic Movement and Recovery | Clinic/Center | 4950 Plainfield Ave Ne Ste A, Grand Rapids, MI 49525-1059 | 2018-11-20 |
| 1902288863 | Center for Physical Rehabilitation and Therapy Lp | Clinic/Center | 5060 Cascade Rd Se, Suite A, Grand Rapids, MI 49546-3808 | 2015-06-26 |
| 1811313612 | Alans Physical Therapy of Grand Rapids | Clinic/Center | 111 Golf Course Rd, Suite 2, Grand Rapids, MN 55744-3526 | 2014-03-17 |
| 1295098945 | In Home Therapy of Grand Rapids, LLC | Clinic/Center | 2433 Valentine Blvd Ne, Grand Rapids, MI 49525-3070 | 2012-06-18 |
| 1508130147 | Patti Kampa Physical Therapy | Clinic/Center | 15 Ne 5th St, Grand Rapids, MN 55744-2760 | 2012-02-29 |
| 1871728816 | Hulst Jepsen Physical Therapy | Clinic/Center | 2120 43rd St Se, Suite 100, Grand Rapids, MI 49508-3772 | 2009-05-20 |
| 1295995629 | Physical Therapy Services of Grand Rapids, LLC | Clinic/Center | 4070 Lake Dr Se, Suite: 204, Grand Rapids, MI 49546-8294 | 2008-06-10 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on GOOD LIFE THERAPY LLC.
| 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.