KAYLE ANN LAVICTOIRE (NPI# 1972007771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972007771 |
| Entity Type | Individual |
| Full Name | KAYLE ANN LAVICTOIRE |
| Credential | DPT |
| Practice Address |
4300 Cascade Rd Se Grand Rapids MI 49546-8328 |
| Practice Telephone | 6162521530 |
| Mailing Telephone | 6162521530 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 5501016490 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5501016490 | 05 |
| Street Address |
4300 CASCADE RD SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597419 | Keith Thomas Crocker | Orthopaedic Surgery | 4300 Cascade Rd Se, Ste 103, Grand Rapids, MI 49546-3631 | 2005-06-10 |
| 1538633615 | Sarah R Lutz | Nurse Practitioner | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2019-01-11 |
| 1750884136 | Ashley Danielle Mckee | Physical Medicine & Rehabilitation | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2018-03-13 |
| 1336523158 | Elizabeth Wilson | Nurse Practitioner | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2015-07-10 |
| 1083020036 | Anusha Kumbam | Internal Medicine | 4300 Cascade Rd Se, Grand Rapids, MI 49546 | 2014-07-09 |
| 1619269222 | Brian Joseph Hinkley | Family Medicine | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2011-05-15 |
| 1639353071 | K. Thomas Crocker, D.o., P.C. | Orthopaedic Surgery | 4300 Cascade Rd Se, Suite 103, Grand Rapids, MI 49546-3631 | 2007-12-20 |
| 1386827137 | David G Frye PC | Orthopaedic Surgery | 4300 Cascade Rd Se, Suite 103, Grand Rapids, MI 49546-3631 | 2007-12-14 |
| 1023125473 | Jennifer Anne Cory | Internal Medicine | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2006-08-23 |
| 1003859299 | Kristi Kern | Family Medicine | 4300 Cascade Rd Se, Grand Rapids, MI 49546-3631 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659791341 | Mary Free Bed Rehabilitation Hospital | Rehabilitation Hospital | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2014-04-21 |
| 1063740561 | Mary Free Bed Rehabilitation Hosptial | Rehabilitation Hospital | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2009-11-23 |
| 1053550590 | Mary Free Bed Rehabilitation Hospital | Rehabilitation Hospital | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2009-02-06 |
| 1679749303 | Mary Free Bed Hospital and Rehabilitation | Rehabilitation Hospital | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2008-05-02 |
| 1730133463 | Mary Free Bed Rehabilitation Hospital | Rehabilitation Hospital | 235 Wealthy Se, Grand Rapids, MI 49503-5299 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750763207 | Oak Park Center for Physical Therapy | Rehabilitation Hospital | 12702 W 9 Mile Rd, Oak Park, MI 48237-2959 | 2015-06-22 |
| 1386068609 | Henry Ford Health System | Rehabilitation Hospital | 1258 Franklin Rd, Berkley, MI 48072-2116 | 2014-02-06 |
| 1871828459 | Taps | Rehabilitation Hospital | 13627 Gratiot, Detroit, MI 48205-3343 | 2009-10-15 |
| 1164445474 | Ascension Genesys Hospital | Rehabilitation Hospital | One Genesys Parkway, Grand Blanc, MI 48439 | 2006-07-26 |
| 1487654547 | Tendercare Michigan Inc | Rehabilitation Hospital | 555 N Bradley Hwy, Suite C, Rogers City, MI 49779-1539 | 2005-07-29 |
| 1386275923 | Nrmi, LLC | Rehabilitation Hospital | 1501 Cass St Ste C, Traverse City, MI 49684-4157 | 2020-02-03 |
| 1275035271 | Beaumont Health | Rehabilitation Hospital | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2018-03-06 |
| 1972928109 | Nrmi, LLC | Rehabilitation Hospital | 3135 Professional Dr, Ann Arbor, MI 48104-5131 | 2014-02-25 |
| 1932449303 | Rehabilitation Institute of Michigan | Rehabilitation Hospital | 261 Mack Ave, Rehabilitation Institute of Michigan, Detroit, MI 48201 | 2013-02-22 |
| 1841548120 | Henry Ford Health System | Rehabilitation Hospital | 6525 2nd Ave, Detroit, MI 48202-3006 | 2012-08-17 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.