Look up the most recent NPI and PECOS records

Laurel Witte

Physical Medicine & Rehabilitation

Allopathic & Osteopathic Physicians

200 Jefferson Ave SE, Grand Rapids, MI 49503-4502

PECOS Enrollment

Based on the most recent information from CMS, provider Laurel Witte is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1417715996
Provider Type
Individual
Full Name
Witte, Laurel
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
3/11/2024
Last Updated
6/4/2025

Contact Information

Practice Location

200 Jefferson Ave SE, Grand Rapids, MI 49503-4502

(616) 685-6867

Unlisted Fax

Mailing Location

200 Jefferson Ave SE, Grand Rapids, MI 49503-4502

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208100000X Primary	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License 5151017510 Michigan

Laurel Witte

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mccarthy, Justin Timothy

Rizik, Bridget Ann

Suzara, Dennis G

Kreitsch, Robert K

Vandenberg, Jonathan Christian

Jeffers, Jacob Brayton

Heitjan, Frederick

Ho, Sampson Wun-Sang

Smith, Meagan Ann

Yablon, Stuart A