Thomas Jay Overly (NPI# 1881091635, PAC ID# 9638496912) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1881091635 |
PAC ID by PECOS | 9638496912 |
Professional Enrollment ID | I20160126000682 |
Full Name | Thomas Jay Overly |
Organization Legal Name | VR THERAPY AND COUNSELING CENTER, LLC |
Address |
1618 Leonard St Ne Grand Rapids MI 49505-6438 |
Phone Number | 6169889049 |
Gender | M |
Graduation Year | 2014 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Group Practice PAC ID | 8729305008 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1618 Leonard St Ne, Grand Rapids, MI 49505-6438 | 6169889049 | VR THERAPY AND COUNSELING CENTER, LLC |
Organization Legal Name | VR THERAPY AND COUNSELING CENTER, LLC |
Physicians | 1 |
Street Address |
1618 LEONARD ST NE |
City | GRAND RAPIDS |
State | MI |
Zip | 49505-6438 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly F Hodor | Nurse Practitioner | Medexpress Urgent Care PC - Michigan | 3100 Plainfield Ave Ne, Medexpress Urgent Care PC Grand Rapids, Grand Rapids, MI 49505-3261 |
Rony C Thomas | Physical Therapy | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
Tonia D Kroll | Nurse Practitioner | State of Michigan | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
Mandisa Grable | Occupational Therapy | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
Jenny Eshleman-hall Gibb | Physical Therapy | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
Whitney J Stutso | Qualified Speech Language Pathologist | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
Margaret C Pierce | Qualified Speech Language Pathologist | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
Norman A Weber | Osteopathic Manipulative Medicine | State of Michigan | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
Elana Kosofsky | Qualified Speech Language Pathologist | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
Saxony A Matousek | Physical Therapy | Therapy Management Inc | 3000 Monroe Ave Ne, Grand Rapids, MI 49505-3313 |
Find all physicians in zip 49505 |
City | GRAND RAPIDS |
Zip Code | 49505 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | GRAND RAPIDS + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.