TIMOTHY OLTHOFF (DPT) – Physical Therapist, NPI 1679022115

TIMOTHY OLTHOFF (DPT) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501017892 (MI). The NPI Number for TIMOTHY OLTHOFF (DPT) is 1679022115

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY OLTHOFF (DPT)
NPI
1679022115
Phone
(616) 554-0918
Address
3826 44TH ST SE
Enumeration Date
26 September 2016
Last Update Date
26 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6165540918
Graduation Year
2016 (10 years ago)
PAC ID
1254619505
Group Practice PAC ID
4981679743
Professional Enrollment ID
I20161021000064
Address ID
MI495123919KE3826XSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for TIMOTHY OLTHOFF (DPT)

  • 44th Street Southeast, Cedar Rapids, Linn County, Iowa, 52403, United States

    GRAND RAPIDS, MI 495123919

    Phone: (616) 554-0918

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161021000064IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes41624$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29424$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care18321$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes3412$0
View full utilization report →

Insurance plans in this area (ZIP 49512)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981679743View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI

Reviews

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Frequently asked questions

What number should I use to identify TIMOTHY OLTHOFF (DPT) for billing?
Administrative and clinical systems typically use NPI 1679022115 for TIMOTHY OLTHOFF (DPT).
Quick check: is TIMOTHY OLTHOFF (DPT) active?
Public NPPES data shows TIMOTHY OLTHOFF (DPT) with an active NPI status right now.
What type of care does TIMOTHY OLTHOFF (DPT) provide?
TIMOTHY OLTHOFF (DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to TIMOTHY OLTHOFF (DPT)?
TIMOTHY OLTHOFF (DPT) shows a connection to Grand Rapids, Michigan in registry-derived data.
Who maintains TIMOTHY OLTHOFF (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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