SPECTRUM HEALTH MEDICAL GROUP
NPI 1033619135
Clinic/Center - Physical Therapy in Caledonia, MI

NPI Status: Active since February 15, 2018

Contact Information

6201 68TH ST SE
CALEDONIA, MI
ZIP 49316
Phone: (231) 291-8020

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  • Organization
  • Clinic/Center
  • Physical Therapy

About SPECTRUM HEALTH MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Spectrum Health Medical Group, a provider established in Caledonia, Michigan operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1033619135 assigned on February 2018. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Spectrum Health Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Spectrum Health Medical Group. The authorized official of this NPI record is David Ottenbaker Md (Associate Chief Medical Officer)

NPI
1033619135
Provider Legal Name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Other Organization Name
SPECTRUM HEALTH MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6201 68TH ST SE CALEDONIA, MI 49316
Location Phone
(231) 291-8020
Mailing Address
100 MICHIGAN ST NE # MC845 GRAND RAPIDS, MI 49503
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-15-2018
Last Update Date
10-31-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
2225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
3225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID OTTENBAKER MD

Authorized Official Title
ASSOCIATE CHIEF MEDICAL OFFICER
Authorized Official Phone
(616) 486-6686

Reviews for SPECTRUM HEALTH MEDICAL GROUP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033619135
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631211816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 2 + 1 + 1 + 8 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1033619135 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588166516 JASON LEE MOTTES
Individual
Physical Therapist6201 68TH ST SE
CALEDONIA, MI 49316
(231) 291-8020
1184141103 RYAN JOHN BUTEYN PT
Individual
Physical Therapist6201 68TH ST SE
CALEDONIA, MI 49316
(231) 291-8020
1417069014 ANGELA ANNE SCARLATO II PT
Individual
Physical Therapist6201 68TH ST SE
CALEDONIA, MI 49316
(231) 291-8020
1386218519 SHELBY LEE MYERS DPT
Individual
Physical Therapist6201 68TH ST SE
CALEDONIA, MI 49316
(231) 291-8020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033619135, enumerated in the NPI registry as an "organization" on February 15, 2018

The provider is located at 6201 68th St Se Caledonia, Mi 49316 and the phone number is (231) 291-8020

This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy

This NPI record was last updated on February 15, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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