| Thrive Pediatric Speech And Feeding Therapy, Llc | |
| 
					2855 44th St Sw Ste 160 Grandville MI 49418-2682  | |
| (616) 379-9887 | |
| Not Available | 
| Full Name | Thrive Pediatric Speech And Feeding Therapy, Llc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 2855 44th St Sw Ste 160, Grandville, Michigan | 
| Authorized Official Name and Position | Meghan Vandewater (SPEECH-LANGUAGE PATHOLOGIST) | 
| Authorized Official Contact | 9893703262 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Thrive Pediatric Speech And Feeding Therapy, Llc 2855 44th St Sw Ste 160 Grandville MI 49418-2682 Ph: (616) 379-9887  | Thrive Pediatric Speech And Feeding Therapy, Llc 2855 44th St Sw Ste 160 Grandville MI 49418-2682 Ph: (616) 379-9887  | 
| NPI Number | 1265074827 | 
|---|---|
| Provider Enumeration Date | 10/15/2019 | 
| Last Update Date | 09/19/2022 | 
| Medicare PECOS PAC ID | 8325471873 | 
|---|---|
| Medicare Enrollment ID | O20191213002136 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265074827 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary | 
| Provider Name | Meghan Lynn Vandewater | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1053953935 PECOS PAC ID: 9234562786 Enrollment ID: I20191213002183  | 
| Provider Name | Aimee Heiniger | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1891307476 PECOS PAC ID: 7214354984 Enrollment ID: I20200826000827  | 
| Provider Name | Nicole Roubos | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1336841188 PECOS PAC ID: 2860831328 Enrollment ID: I20240416003738  | 
| Provider Name | Reegan Elles Edema | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1184450868 PECOS PAC ID: 0345771879 Enrollment ID: I20241008001223  | 
| Provider Name | Anna Christine Wuerfel | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1508687666 PECOS PAC ID: 6709314438 Enrollment ID: I20250109000827  | 
Michigan Medical Patient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Port Sheldon Rd Sw, Grandville, MI 49418 Phone: 616-457-3050  | |
Michigan Medical Patient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3550 Fairlanes Ave Sw, Grandville, MI 49418 Phone: 616-531-7220  | |
Tandy L. Champion, D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4166 56th St., Sw, Grandville, MI 49418 Phone: 616-249-1850 Fax: 616-532-8657  | |
John J. Potente P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3181 Prairie St Sw, Suite 105, Grandville, MI 49418 Phone: 616-249-1800  | |
Spectrum Health Primary Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Port Sheldon Rd, Grandville, MI 49418 Phone: 616-457-3050  | |
Rosner Investments, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4565 Wilson Ave Sw Ste 4c, Grandville, MI 49418 Phone: 616-214-7228  |