Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lachane Ballard

Individual provider Physical Therapist · NPI 1780564088

Lachane Ballard is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2025, 1 year ago. Practices with Mary Free Bed Rehabilitation Hospital, a 132-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone: (616) 840-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1780564088
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedSeptember 5, 2025
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address235 Wealthy St Se, Grand Rapids, MI 49503-5247

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mary Free Bed Rehabilitation Hospital — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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