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

Negasi Amine Tewoldemedhin, DPT

Individual provider Physical Therapist · NPI 1417138363

Negasi Amine Tewoldemedhin, DPT is a Physical Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5060 Cascade Rd SE Ste A
Grand Rapids, MI 49546-3808
Phone: (616) 954-0950
Fax: (616) 954-1728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501013543 (MI)

Record details

NPI number1417138363
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 20, 2007
Last updated in NPPESNovember 20, 2007

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