SPECTRUM HEALTH MEDICAL GROUP – NPI #1033619135
Clinic/Center

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.

SPECTRUM HEALTH MEDICAL GROUP is an AHC clinic located in CALEDONIA, MI. NPPES has assigned the NPI number 1033619135 to SPECTRUM HEALTH MEDICAL GROUP on February 15, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SPECTRUM HEALTH MEDICAL GROUP” is a dba name, the actual legal business name for this organization is SPECTRUM HEALTH PRIMARY CARE PARTNERS. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Physical Therapy

The NPI profile was previously updated about 3 years ago on Oct 31, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPECTRUM HEALTH MEDICAL GROUP below.

NPI Profile for
SPECTRUM HEALTH PRIMARY CARE PARTNERS

NPI Number
1033619135
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Doing Business As (dba): SPECTRUM HEALTH MEDICAL GROUP
Other name(s)
All associated names:
Doing Business As (dba)
Corewell Health Medical Group West
Doing Business As (dba)
Spectrum Health Medical Group
Primary location
6201 68TH ST SE
CALEDONIA, MI 49316
Phone: (231) 291-8020 Fax:
Mailing address
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone: Fax:
Organization Subpart
Yes - SPECTRUM HEALTH MEDICAL GROUP is subpart of another organization.
Authorized Official
DAVID OTTENBAKER
ASSOCIATE CHIEF MEDICAL OFFICER
Phone: (616) 486-6686
Updated
Certification Date
Oct 31, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.