JULIE CLARK (NPI# 1104328442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104328442 |
| Entity Type | Individual |
| Full Name | JULIE CLARK |
| Credential | MSPT |
| Practice Address |
14929 Sandstone Pl Grand Haven MI 49417-7947 |
| Practice Telephone | 2313279578 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501009461 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1306876438 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 625 Kenmoor Ave Se Ste 306, Grand Rapids, MI 495462395 | 6169425744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700355468 | Julie Clark | Social Worker | 3733 Spotted Jack Loop N, Billings, MT 59101-6974 | 2018-11-24 |
| 1689918450 | Julie Kaye Clark | Lactation Consultant, Non-RN | 1301 Motter Avenue, Frederick, MD 21701 | 2012-11-19 |
| 1336447663 | Julie Clark | Speech-Language Pathologist | 6276 Plattsburg Rd, South Charleston, OH 45368-8801 | 2011-03-10 |
| 1649577800 | Julie R Clark | Speech-Language Pathologist | 118 N Pearl St, Frewsburg, NY 14738-9514 | 2011-02-23 |
| 1114159555 | Julie J Clark | Nurse Practitioner | 682 Hemlock St Ste 290, Macon, GA 31201-8312 | 2009-08-19 |
| 1073748349 | Julie W. Clark | Dietitian, Registered | 106 W Washington St., Jefferson, IA 50129-1920 | 2009-05-15 |
| 1245372929 | Julie Lynn Clark | Occupational Therapist | 2446 Forest Leaf Pkwy, Wildwood, MO 63011-1847 | 2007-02-12 |
| 1093737439 | Julie Clark | Physician Assistant | 307 North Broadway, Poteau, OK 74953-0689 | 2006-07-24 |
| 1649214131 | Julie Clark | Physician Assistant | 10255 Overland Rd, Boise, ID 83709-1430 | 2006-06-15 |
| 1346216389 | Julie D Clark | Obstetrics & Gynecology | 1550 Professional Dr Ste A, Suite 100, Petaluma, CA 94954-6655 | 2006-02-28 |
| Street Address |
14929 SANDSTONE PL |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-7947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| 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 |
|---|---|---|---|---|
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1235419664 | Jaclyn Bradley | Physical Therapist | 16760 Lincoln St, Grand Haven, MI 49417 | 2011-08-17 |
| 1528394079 | Tom Kenneth Trumbull Iv | Physical Therapist | 950 Taylor Ave Ste 180, Grand Haven, MI 49417-2282 | 2009-10-19 |
| 1275714909 | Performance Builders, LLC | Physical Therapist | 316 Stickney Ridge Rd, Grand Haven, MI 49417-9314 | 2007-11-21 |
| 1083731939 | Bhaskar Reddy Poreddy | Physical Therapist | 1615 S Despelder St, Grand Haven, MI 49417-2633 | 2007-03-24 |
| 1457966996 | Hayley Vanbeek | Physical Therapist | 16760 Lincoln St, Grand Haven, MI 49417-8864 | 2020-09-11 |
| 1306485628 | Blake Price | Physical Therapist | 900 S Beacon Blvd, Grand Haven, MI 49417-2146 | 2020-01-03 |
| 1114570595 | Ciera Marie Grevengoed | Physical Therapist | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2019-07-24 |
| 1194209247 | Melissa Lynn Lewandowski | Physical Therapist | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2018-09-24 |
| 1639650658 | Jodi Ann Brown | Physical Therapist | 15100 Whittaker Way, Grand Haven, MI 49417-8696 | 2018-08-27 |
| Find all providers in GRAND HAVEN | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
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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.