MRS. ROBIN MAE DERTIEN (NPI# 1871096180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871096180 |
| Entity Type | Individual |
| Full Name | MRS. ROBIN MAE DERTIEN |
| Credential | PT |
| Practice Address |
4868 Lake Michigan Dr Allendale MI 49401-8434 |
| Mailing Address |
3376 Ivanrest Ave Sw Grandville MI 49418-2020 |
| Practice Telephone | 6163917849 |
| Practice Fax Number | 6163917896 |
| Mailing Telephone | 6168931563 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5501010918 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4868 LAKE MICHIGAN DR |
| City | ALLENDALE |
| State | MI |
| Zip Code | 49401-8434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274408 | Michelle Gianturco | Family Medicine | 4868 Lake Michigan Dr, # 2, Allendale, MI 49401-8434 | 2005-06-09 |
| 1932602885 | Craig Allen Vissers | Physical Therapist | 4868 Lake Michigan Dr, Allendale, MI 49401-8434 | 2018-03-16 |
| 1629380647 | Spectrum Health Primary Care Partners | Radiology | 4868 Lake Michigan Dr, Suite B, Allendale, MI 49401-8434 | 2010-07-07 |
| 1336450907 | Spectrum Health Primary Care Partners | Family Medicine | 4868 Lake Michigan Dr, Allendale, MI 49401-8434 | 2010-06-29 |
| 1942521091 | Kevin J Kross | Dentist | 4868 Lake Michigan Dr, Suite A, Allendale, MI 49401-8434 | 2010-06-11 |
| 1417279027 | American Hearing Centers, LLC | Audiologist-Hearing Aid Fitter | 4868 Lake Michigan Dr, Ste A, Allendale, MI 49401-9577 | 2010-02-23 |
| 1508968090 | Frederick Hoekzema Jr. | Dentist | 4868 Lake Michigan Dr, Suite A, Allendale, MI 49401-8434 | 2006-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
| 1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
| 1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
| 1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
| 1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
| 1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
| 1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
| 1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
| 1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
| 1750826343 | Hannah Jo Bader | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401 | 2017-01-05 |
| Find all providers in zip 49401 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821575093 | Linh Manh Hoang | Physical Therapist | 115 W Allendale Ave, Allendale, NJ 07401-1734 | 2018-07-20 |
| 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.