SHELLEY JOY POTTER (NPI# 1619470390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619470390 |
| Entity Type | Individual |
| Full Name | SHELLEY JOY POTTER |
| Practice Address |
1401 Cedar St Ne Grand Rapids MI 49503-1375 |
| Mailing Address |
7250 Danboro Ave Ne Rockford MI 49341-7336 |
| Practice Telephone | 6164660217 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501011153 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5501011153 | 05 |
| Street Address |
1401 CEDAR ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-1375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407187685 | Sara Marie Baker | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2010-01-27 |
| 1750934808 | Matthew Rejc | Occupational Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2019-07-18 |
| 1912473372 | Kristin Andrea Nabozny | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-10-23 |
| 1255835682 | Britt Knapp | Occupational Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-21 |
| 1265936017 | Maria R Phillips | Occupational Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-19 |
| 1285138941 | Helen Mulder | Occupational Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-19 |
| 1932603768 | Elizabeth E Umlor | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-18 |
| 1730682683 | Michael Hamilton | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-16 |
| 1487157368 | Rachel O'connell | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-16 |
| 1710480827 | Pamela Kay O'connor | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
|---|---|---|---|---|
| 1851991392 | Daniel Paul Swanson | Physical Therapist | 2849 Michigan St Ne Ste 100, Grand Rapids, MI 49506-1216 | 2020-10-26 |
| 1902454820 | Nicholas Vandermyde | Physical Therapist | 2991 Deli Dr Ne, Grand Rapids, MI 49525-3130 | 2019-09-04 |
| 1811545031 | Kyle Vanderwoude | Physical Therapist | 933 3 Mile Rd Nw Ste 104, Grand Rapids, MI 49544-1673 | 2019-08-30 |
| 1881241032 | Peter Curtis | Physical Therapist | 120 43rd St Se # 100, Grand Rapids, MI 49548-3354 | 2019-08-22 |
| 1750934170 | Alexis Cherven | Physical Therapist | 4787 Shady Pine Ln Se, Grand Rapids, MI 49546-6334 | 2019-07-24 |
| 1386100956 | Brady Eaton Smith | Physical Therapist | 1471 E Beltline Ave Ne Ste 104, Grand Rapids, MI 49525-4548 | 2019-02-19 |
| 1487126355 | Kathleen Ann Moelker | Physical Therapist | 2100 Raybrook St Se Ste 303, Grand Rapids, MI 49546-5783 | 2018-12-17 |
| 1023587946 | Counterstrain Physical Therapy Pllc | Physical Therapist | 3501 Lake Eastbrook Blvd Se Ste 138, Grand Rapids, MI 49546-5939 | 2018-11-20 |
| 1639648728 | Elina Simonen | Physical Therapist | 630 Kenmoor Ave Se Ste 200, Grand Rapids, MI 49546-8626 | 2018-11-19 |
| 1972071504 | Stacie Bronkema | Physical Therapist | 1430 Monroe Ave Nw Ste 120, Grand Rapids, MI 49505-4678 | 2018-11-13 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.