IndividualActive
Kaitlyn Jonkman, PTA
NPI 1114501400 · Physical Medicine & Rehabilitation Physician · Grand Rapids, MI
Provider details
- NPI number
- 1114501400
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 5502004061 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1401 Cedar St Ne
Grand Rapids, MI 49503-1375
Phone: (616) 486-3900
Street-level locationGet directions
Mailing address
4605 Curwood Ave Se
Kentwood, MI 49508-4616
Registry dates
- Enumerated
- 2021-05-12
- Last updated
- 2021-05-12
- Certified
- 2021-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.