| Kentwood Physical Therapy, Pllc | |
|
1423 60th St Se, Kentwood, MI 49508-7065 | |
| (616) 446-9058 | |
| (616) 821-6162 |
| Full Name | Kentwood Physical Therapy, Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1423 60th St Se, Kentwood, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134331689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501010446 (Michigan) | Primary |
| Provider Name | Adam B Beadenkopf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538266853 PECOS PAC ID: 6901871144 Enrollment ID: I20040831000733 |
| Provider Name | Douglas A Essenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154428472 PECOS PAC ID: 8325013568 Enrollment ID: I20040831000758 |
| Provider Name | Jamie J Corrie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063519395 PECOS PAC ID: 2466415062 Enrollment ID: I20041104000981 |
| Provider Name | Julie A Middleton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811498363 PECOS PAC ID: 0244574119 Enrollment ID: I20181204000363 |
| Provider Name | Erika Marie Cooley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063229896 PECOS PAC ID: 6608396833 Enrollment ID: I20250219000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Kentwood Physical Therapy, Pllc 1423 60th St Se, Kentwood, MI 49508-7065 Ph: (616) 446-9058 | Kentwood Physical Therapy, Pllc 1423 60th St Se, Kentwood, MI 49508-7065 Ph: (616) 446-9058 |
Tia Esta Cisler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4380 52nd St Ne, Kentwood, MI 49512 Phone: 616-825-3520 | |
Erika Marie Cooley, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1423 60th St Se, Kentwood, MI 49508 Phone: 616-455-3535 | |
Jamie Corrie, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1423 60th St Se, Kentwood, MI 49508 Phone: 616-455-3535 Fax: 616-455-3509 | |
Ms. Christine Anne Linabury, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1940 44th St Se, Kentwood, MI 49508 Phone: 616-281-4556 Fax: 616-281-4786 | |
Douglas Essenberg, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1423 60th St Se, Kentwood, MI 49508 Phone: 616-455-3535 | |
Sarah Tappon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3826 44th St Se, Kentwood, MI 49512 Phone: 616-554-0918 |