MATTHEW GRANQUIST (NPI# 1154618841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154618841 |
| Entity Type | Individual |
| Full Name | MATTHEW GRANQUIST |
| Credential | PT, DPT |
| Practice Address |
3211 Division St Ste 3 Burlington IA 52601-1692 |
| Mailing Address |
850 43rd Ave Ste 100 Moline IL 61265-8401 |
| Practice Telephone | 3197547899 |
| Mailing Telephone | 3097432070 |
| Mailing Fax Number | 3097432073 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 004179 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
004179 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3211 DIVISION ST STE 3 |
| City | BURLINGTON |
| State | IA |
| Zip Code | 52601-1692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356520761 | Christopher Robert Schroeder | Physical Therapist | 3211 Division St Ste 3, Burlington, IA 52601-1692 | 2007-11-01 |
| 1629365465 | Sarah Marie Breder | Physical Therapist | 3211 Division St Ste 3, Burlington, IA 52601-1692 | 2011-06-30 |
| 1033398441 | Schroeder Physical Therapy Services, P.C. | Clinic/Center | 3211 Division St Ste 3, Burlington, IA 52601-1692 | 2007-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
| 1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
| 1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
| 1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
| 1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
| 1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
| 1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
| Find all providers in zip 52601 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| 1407142029 | Kevin Michael Duniho | Physical Therapist | 31 N Prospect St, Burlington, VT 05401-3339 | 2011-06-22 |
| 1609818376 | Jacqueline B. Gambino | Physical Therapist | 11 Kilburn St, The Body Center, Burlington, VT 05401-4750 | 2006-06-10 |
| 1811955081 | Appletree Bay Physical Therapy, Inc | Physical Therapist | 1205 North Ave, Burlington, VT 05408-2751 | 2006-05-03 |
| 1689955890 | Vermont Pain Relief, LLC | Physical Therapist | 31 N Prospect St, Burlington, VT 05401-3339 | 2011-09-01 |
| 1932432341 | Andrea L. Trombley | Physical Therapist | 20 Kilburn St, Burlington, VT 05401-4720 | 2009-09-16 |
| 1760612394 | Patricia E Tyler | Physical Therapist | 20 Kilburn St, Ste 120, Burlington, VT 05401-4720 | 2009-07-16 |
| 1235320144 | Meghan Gibbo | Physical Therapist | 1205 North Ave, Burlington, VT 05408-2751 | 2007-08-06 |
| 1689705139 | Green Mountain Rehabilitation & Sports Medicine LLC | Physical Therapist | 90 Main St, Burlington, VT 05401-8419 | 2007-03-08 |
| 1689713406 | Janet L Carscadden | Physical Therapist | 20 Kilburn St, Burlington, VT 05401-4720 | 2007-02-06 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 52601 |
Please comment or provide details below to improve the information on MATTHEW GRANQUIST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.