NPI 1811268808
This NPI was deactivated on October 22, 2026. The record is kept for reference and should not be used for billing or referrals.
NPI 1811268808 is registered under Physical Therapist in Private Practice. Qualified in 1998, 28 years ago. Practices with Advent Rehabilitation, LLC, a 57-clinician group and accepts Medicare assignment.
- Years since qualifying
- 28
Practice location Incomplete address
No coordinates on file. Search this address in Google Maps
Specialties & licences
Record details
| NPI number | 1811268808 |
|---|---|
| Entity type | Individual (Type 1) |
| NPI enumerated | — |
| Last updated in NPPES | — |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1998 (28 years in practice) |
| Group practice | Advent Rehabilitation, Llc — 57 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 600 |
| Average patient age | 74 |
Colleagues at Advent Rehabilitation, LLC
- Alexzanda Jo Forbes, PT, DPT Physical Therapist · Lansing, MI
- Kristen Haugh, PT Physical Therapist · Norton Shores, MI
- Dr. Amy Elizabeth Johnson, DPT Physical Therapist · Grand Rapids, MI
- Mical Knafel, DPT Physical Therapist · Grand Rapids, MI
- Eric David Lueck Physical Therapist · Grand Rapids, MI
- Julie Middleton Physical Therapist · Byron Center, MI
- Brandon Richardson, PT Physical Therapist · Grand Rapids, MI
- Amanda Holly Sodini, DPT Physical Therapist · Grand Rapids, MI
- Kailey Sturtridge, PT Physical Therapist · Kentwood, MI
- Katie Tschirhart, PT Physical Therapist · Haslett, MI
- Carmen Vandyke Physical Therapist · Wyoming, MI
- Kyle Zwarych, DPT Physical Therapist · Grand Rapids, MI