Shoreline Sport & Spine Pc | |
18000 Cove Street, Suite 202, Spring Lake, MI 49456 | |
(616) 847-1280 | |
(616) 847-1290 |
Full Name | Shoreline Sport & Spine Pc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 18000 Cove Street, Spring Lake, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225040694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Jamie M Morris |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417915604 PECOS PAC ID: 6800792573 Enrollment ID: I20031211001008 |
Provider Name | Kevin E Sprague |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306982079 PECOS PAC ID: 3274575535 Enrollment ID: I20050526000353 |
Provider Name | Martin J Sytsema |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447289277 PECOS PAC ID: 9638115330 Enrollment ID: I20050705000328 |
Provider Name | Jennifer Marie Mccann-bauer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063470490 PECOS PAC ID: 7113942491 Enrollment ID: I20051006000500 |
Provider Name | Matthew L Austin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831318468 PECOS PAC ID: 0941300305 Enrollment ID: I20070713000593 |
Provider Name | Eric J Bastian |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730332412 PECOS PAC ID: 9830252212 Enrollment ID: I20090112000195 |
Provider Name | Link A Dephouse |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710071360 PECOS PAC ID: 0446315782 Enrollment ID: I20090220000341 |
Provider Name | Jeffrey A Eaton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033204870 PECOS PAC ID: 2264597509 Enrollment ID: I20090413000178 |
Provider Name | Lisa M Radosa |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851486211 PECOS PAC ID: 0244389658 Enrollment ID: I20090519000229 |
Provider Name | Erik Scott Schaffer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609102151 PECOS PAC ID: 5698813343 Enrollment ID: I20091117000578 |
Provider Name | Randall R Prince |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891898763 PECOS PAC ID: 0345383907 Enrollment ID: I20100204000120 |
Provider Name | Michelle L Hertel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235125386 PECOS PAC ID: 4981884517 Enrollment ID: I20110214000649 |
Provider Name | Michael J Klobucher |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396039541 PECOS PAC ID: 7517139173 Enrollment ID: I20111004000668 |
Provider Name | Robin J Wilcox |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982958427 PECOS PAC ID: 2163677535 Enrollment ID: I20130311000197 |
Provider Name | Jeffrey Clark |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265783328 PECOS PAC ID: 8921253246 Enrollment ID: I20130312000326 |
Provider Name | Whitney G Rodriguez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194150631 PECOS PAC ID: 3173751617 Enrollment ID: I20140108001629 |
Provider Name | Christopher M Burdis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578930129 PECOS PAC ID: 2062720642 Enrollment ID: I20150930003168 |
Provider Name | Daniel R Hanks |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407225865 PECOS PAC ID: 7911215181 Enrollment ID: I20151008000213 |
Provider Name | Brooke A Meinema |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245609452 PECOS PAC ID: 9638488588 Enrollment ID: I20151016000609 |
Provider Name | Dean T Millar |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780115360 PECOS PAC ID: 3577820489 Enrollment ID: I20171201000664 |
Provider Name | William Patrick Seiler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467980805 PECOS PAC ID: 5294008033 Enrollment ID: I20190919002796 |
Provider Name | Peter Curtis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881241032 PECOS PAC ID: 3678804119 Enrollment ID: I20191014002667 |
Provider Name | Colin Roger Remtema |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780228502 PECOS PAC ID: 3274965066 Enrollment ID: I20191115002823 |
Provider Name | Sarah Katherine Veldman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689220519 PECOS PAC ID: 4981037868 Enrollment ID: I20191206001494 |
Provider Name | Gina E Houtteman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023643285 PECOS PAC ID: 1658792759 Enrollment ID: I20200527002815 |
Provider Name | Emmanuel S Pagkanlungan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477071777 PECOS PAC ID: 8527331628 Enrollment ID: I20200721003506 |
Provider Name | Patrick T Jewett |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043822356 PECOS PAC ID: 6507283330 Enrollment ID: I20200825003125 |
Provider Name | Jessica J Meengs |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609488311 PECOS PAC ID: 4789001181 Enrollment ID: I20200831002863 |
Provider Name | Lisa A Walton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659505527 PECOS PAC ID: 8628127453 Enrollment ID: I20210816003459 |
Provider Name | Rachael M Webb |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548937105 PECOS PAC ID: 1658777578 Enrollment ID: I20210901000820 |
Provider Name | Jeffrey J Santini |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952077489 PECOS PAC ID: 2264820539 Enrollment ID: I20211020000295 |
Provider Name | Luke David Gray |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932850955 PECOS PAC ID: 7012309677 Enrollment ID: I20220112000873 |
Provider Name | Matthew Conrad Zahl |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962904755 PECOS PAC ID: 3173901683 Enrollment ID: I20220610001920 |
Provider Name | Megan E Teeter |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245947761 PECOS PAC ID: 5294103776 Enrollment ID: I20221115002622 |
Provider Name | Ann E Fox |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861616427 PECOS PAC ID: 5092059782 Enrollment ID: I20230412002494 |
Provider Name | Summer N Crowell |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619458577 PECOS PAC ID: 9638543978 Enrollment ID: I20230618000105 |
Provider Name | Brandi Jo Hansen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548722697 PECOS PAC ID: 0941663561 Enrollment ID: I20230830002033 |
Provider Name | Michelle Koetje |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104600766 PECOS PAC ID: 9234593450 Enrollment ID: I20230906003585 |
Provider Name | Liam O Grathoff |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851175517 PECOS PAC ID: 6800250952 Enrollment ID: I20230908000482 |
Provider Name | Katelyn Erickson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043095201 PECOS PAC ID: 1658735337 Enrollment ID: I20230913003324 |
Provider Name | Lindsey Fox |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205613643 PECOS PAC ID: 6608221023 Enrollment ID: I20231004003317 |
Provider Name | Rachel Silver |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043972698 PECOS PAC ID: 4688067390 Enrollment ID: I20240105000659 |
Provider Name | Houston Bedford |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043080716 PECOS PAC ID: 4082066329 Enrollment ID: I20240123000231 |
Provider Name | Rilie Vandyne |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669031456 PECOS PAC ID: 6305286220 Enrollment ID: I20240425002519 |
Provider Name | Patrick Scott Mcgettigan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861226037 PECOS PAC ID: 2466993894 Enrollment ID: I20240925000899 |
Provider Name | Eryl S Morgan-jenkins |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811927601 PECOS PAC ID: 4082676473 Enrollment ID: I20241218003857 |
Provider Name | Andrew A Wiegand |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881404952 PECOS PAC ID: 2365970738 Enrollment ID: I20250113002480 |
Provider Name | Madeline Jane Lowry |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962032367 PECOS PAC ID: 3476083783 Enrollment ID: I20250214002561 |
Mailing Address | Practice Location Address |
---|---|
Shoreline Sport & Spine Pc 18000 Cove St Ste 202, Spring Lake, MI 49456-1383 Ph: (616) 847-1280 | Shoreline Sport & Spine Pc 18000 Cove Street, Suite 202, Spring Lake, MI 49456 Ph: (616) 847-1280 |
Katelyn M Erickson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 18000 Cove St Ste 202, Spring Lake, MI 49456 Phone: 616-847-1280 Fax: 616-847-1290 | |
Jennifer M Grelewicz, PT, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 18000 Cove St, Suite 202, Spring Lake, MI 49456 Phone: 616-847-1280 Fax: 616-847-1290 | |
Michelle Koetje, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 18000 Cove St Ste 202, Spring Lake, MI 49456 Phone: 616-847-1280 Fax: 616-847-1290 | |
Mrs. Mary Lomonaco - Harig, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18000 Cove Street, Suite 202, Spring Lake, MI 49456 Phone: 616-847-1280 Fax: 616-847-1290 | |
Mrs. Whitney G Rodriguez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 18000 Cove Street, Suite 202, Spring Lake, MI 49456 Phone: 616-847-1280 Fax: 616-847-1290 | |
Mrs. Brooke Ashley Meinema, DPT, FAFS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 18000 Cove St Ste 202, Spring Lake, MI 49456 Phone: 616-847-1280 Fax: 616-847-1290 |