CAMELIA MEINDERTSMA – Physical Therapist, NPI 1760046122
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,481 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI
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Provider Addresses for CAMELIA MEINDERTSMA
1490, East Beltline Avenue Southeast, Third Ward, Grand Rapids, Kent County, Michigan, 49506, United States
GRAND RAPIDS, MI 495064336
Phone: (855) 407-7575
Type: Mailing
1490 E Beltline Ave SE
Grand Rapids, MI 495064336
Phone: (855) 407-7575
Type: Location
201 N Mayfair Rd
Milwaukee, WI 532264216
Phone: (414) 259-7200
Type: Location
1264 PLAINFIELD AVE NE
GRAND RAPIDS, MI 495054929
Phone: (616) 888-7993
Fax: (616) 432-2924
Type: Location
PO BOX 412031
BOSTON, MA 022412031
Phone: (914) 294-4050
Fax: (631) 760-8306
Type: Mailing
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: 2025-02-14
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241002002717 | I | Physical Therapist In Private Practice | WI | TBD |
| I20250214000511 | I | Physical Therapist In Private Practice | MI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49506)
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