Lisa J Vis, MSPT | |
5570 Wilson Ave Sw, Suite A, Grandville, MI 49418-8867 | |
(616) 594-2000 | |
(616) 594-2004 |
Full Name | Lisa J Vis |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 22 Years |
Location | 5570 Wilson Ave Sw, Grandville, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083715619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | L742129 (Michigan) | Secondary |
225100000X | Physical Therapist | 5501011269 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hulst Jepsen Physical Therapy Inc | 8325033285 | 105 |
Provider Name | Hulst Jepsen Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609957760 PECOS PAC ID: 8325033285 Enrollment ID: O20060206000755 |
Mailing Address | Practice Location Address |
---|---|
Lisa J Vis, MSPT 2120 43rd St Se, Suite 100, Grand Rapids, MI 49508-3772 Ph: (616) 281-1144 | Lisa J Vis, MSPT 5570 Wilson Ave Sw, Suite A, Grandville, MI 49418-8867 Ph: (616) 594-2000 |
Ian Larabel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 Phone: 616-818-0018 Fax: 616-278-1451 | |
West Michigan Rehabilitation Center, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3181 Prairie St Sw, Suite 102, Grandville, MI 49418 Phone: 616-249-3545 Fax: 616-249-3549 | |
Stacie Rayman, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3380 44th St Sw, Grandville, MI 49418 Phone: 616-233-3591 Fax: 616-534-0807 | |
Laura Ann-ennis Conran, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5570 Wilson Ave Sw, Suite A, Grandville, MI 49418 Phone: 616-855-1495 Fax: 616-531-5027 | |
Ronald Kronemeyer P.t Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4120 Chicago Dr Sw, Suite #7, Grandville, MI 49418 Phone: 616-534-0366 Fax: 616-534-0540 | |
Mr. Kirk Christopher Randall, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3753 Basswood Dr Sw, Grandville, MI 49418 Phone: 616-340-6407 Fax: 616-301-2882 |