MEDICARE: JOSHUA SUTTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501303645	MI

General Provider Information

NPI Number	:	1669264719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA SUTTON

Provider Business Mailing Address
First Line	:	PO BOX 30516
Second Line	:	DEPT 5300
City	:	LANSING
State	:	MI
Zip	:	48909
Country	:	US
Telephone Number	:	616-608-9979
Fax Number	:

Provider Business Practice Location Address
First Line	:	4761 LAKE MICHIGAN DR NW STE A
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49534-6300
Country	:	US
Telephone Number	:	616-791-7025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2025
Last Update Date	:	05/22/2025

Similar Medicare Providers

1962409086 — MRS. ANNE MARIE PALMITIER P.T.
Practice Location Address:

4761 LAKE MICHIGAN DR NW , SUITE A
GRAND RAPIDS, MI
49534-6300

Practice Phone: 616-975-9078
Practice Fax: 616-975-9248

1063766491 — KEVIN MICHAEL HECKSEL DPT
Practice Location Address:

4761 LAKE MICHIGAN DR NW STE A
GRAND RAPIDS, MI
49534-6300

Practice Phone: 616-891-7025
Practice Fax: 616-365-3174

1942926795 — KAILEY DANAHER
Practice Location Address:

4761 LAKE MICHIGAN DR NW STE A
GRAND RAPIDS, MI
49534-6300

Practice Phone: 616-791-7025
Practice Fax:

1467447813 — DR. KALADEVI NADARAJAN MD
Practice Location Address:

145 MICHIGAN ST NE STE 6300
GRAND RAPIDS, MI
49503-2562

Practice Phone: 616-391-9945
Practice Fax: 616-486-6346

1245340223 — DR. CHARLES R HARRISON MD
Practice Location Address:

145 MICHIGAN ST NE , STE 6300
GRAND RAPIDS, MI
49503-2562

Practice Phone: 616-486-6000
Practice Fax:

1053421024 — DR. GORDON OLIVER DOWNEY M.D.
Practice Location Address:

145 MICHIGAN ST NE , SUITE 6300
GRAND RAPIDS, MI
49503-2562

Practice Phone: 616-486-6000
Practice Fax: 616-486-2065

Directions to “ JOSHUA SUTTON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.