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AMY WALLENBURG P.T., M.P.T.
NPI 1063728509
Physical Therapist - Pediatrics in Zeeland, MI

Active since August 22, 2010
26 N STATE ST, SUITE 400, ZEELAND, MI 49464(616) 772-5643(616) 772-5819 Get Directions Write a Review

NPPES record last updated: September 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amy Wallenburg P.t., M.p.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY WALLENBURG P.T., M.P.T. (NPI 1063728509) is an individual pediatrics provider in Zeeland, Michigan, licensed in Michigan (5501012840) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1063728509
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameAMY WALLENBURGCredential: P.T., M.P.T.
Location Address26 N STATE ST, SUITE 400Zeeland, MI 49464-1281
Mailing Address26 N State St, Suite 400Zeeland, MI 49464-1281 · (616) 772-5643 · Fax (616) 772-5819
Phone(616) 772-5643
Fax(616) 772-5819
Sole ProprietorNo
Enumeration DateAugust 22, 2010
Last NPPES UpdateSeptember 5, 2010
✔ NPI 1063728509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in MI · 5501012840
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedPhysical TherapistTaxonomy 225100000X · License 5501012840 (MI)
26 N STATE ST, Zeeland, MI 49464
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TATE ROZEVELD
Physical Therapist
26 N STATE ST
ZEELAND, MI 49464
Ottawa County (616) 256-8677
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Physical Therapy)
26 N STATE ST, SUITE 500
ZEELAND, MI 49464
Ottawa County (616) 748-1140
TORREY J VRUGGINK PT
Physical Therapist
26 N STATE ST, SUITE 500
ZEELAND, MI 49464
Ottawa County (616) 748-1140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Wallenburg's NPI number?

The NPI number for Amy Wallenburg is 1063728509. It was assigned to this individual provider in the NPPES registry on August 22, 2010.

Where is Amy Wallenburg located?

Amy Wallenburg practices at 26 N State St Suite 400, Zeeland, MI 49464. The listed phone number is (616) 772-5643.

What is Amy Wallenburg's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Amy Wallenburg was last updated on September 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.