SAMUEL VANDERWOUDE (NPI# 1487211025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487211025 |
| Entity Type | Individual |
| Full Name | SAMUEL VANDERWOUDE |
| Practice Address |
1490 E Beltline Ave Se Grand Rapids MI 49506-4336 |
| Mailing Address |
1415 Milton St Se Grand Rapids MI 49506-1712 |
| Practice Telephone | 6169400040 |
| Mailing Telephone | 5037587479 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1490 E BELTLINE AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528043544 | Hope Network - Rehabilitation Services | Psychologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2005-12-13 |
| 1447859343 | Dianee Green | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-21 |
| 1104425198 | Hans Jacob Stimac | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-20 |
| 1346848835 | Katherine D Westfall | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-15 |
| 1518564806 | Lisa Merkiel | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-10-08 |
| 1578178919 | Kevin Guggemos | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-09-12 |
| 1053926998 | Amber Kay Mcglynn | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-09-08 |
| 1275147381 | Evan Shovels | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-09-04 |
| 1881207744 | Kendra Rose Coburn | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-08-28 |
| 1881207108 | Sarah A Schulte | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-08-26 |
| 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 | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1891297396 | Sean Patrick Murphy | Physical Therapist | 235 Wealthy St., Grand Rapids, MI 49503 | 2018-03-01 |
| 1538662150 | Kristin Lousise Vanderark | Physical Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-09 |
| 1346742087 | Joseph Dean Ross | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-07 |
| 1720580319 | Hannah Alvarez | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-28 |
| 1619478443 | Tracy Oostema | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-27 |
| 1194226811 | Pamela Jeanne Munster | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-27 |
| 1689175648 | Christina Platko | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-26 |
| 1538660543 | Laura M Meengs | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912562984 | Epic Management, LLC | Physical Therapist | 25865 W 12 Mile Rd Ste 101, Southfield, MI 48034-1817 | 2019-05-06 |
| 1871095273 | Mathew Alan Hoard | Physical Therapist | 3360 Hospital Rd, Saginaw, MI 48603-9622 | 2018-03-02 |
| 1497256531 | Natalie Brown | Physical Therapist | 32715 Grand River Ave, Farmington, MI 48336-3113 | 2018-02-23 |
| 1619425352 | Krystina Nicole Miller | Physical Therapist | 13473 Evergreen Dr, Otter Lake, MI 48464 | 2016-09-12 |
| 1215247150 | Nicole Heather Mitchell | Physical Therapist | 5832 N Lapeer Rd Ste Abc, North Branch, MI 48461-8144 | 2010-10-13 |
| 1710023916 | Advanced Neuro Rehab Services | Physical Therapist | 26635 Woodward Avenue, Suite 101, Huntington Woods, MI 48070 | 2007-01-29 |
| 1720556384 | Kristine Nicole Koch | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2495 | 2018-11-12 |
| 1386135093 | Laura Ann Poirier | Physical Therapist | 27450 Schoenherr Rd, Warren, MI 48088-6683 | 2018-05-29 |
| 1265929616 | Laura Leone | Physical Therapist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-04-20 |
| 1821595778 | Ronald Cutia Angeles | Physical Therapist | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2018-04-08 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on SAMUEL VANDERWOUDE.
| 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.