PHYSICAL THERAPY SERVICES OF GRAND RAPIDS, LLC


Address: 4070 Lake Dr Se, Suite: 204, Grand Rapids, MI 49546-8294
Phone: 6164813690

PHYSICAL THERAPY SERVICES OF GRAND RAPIDS, LLC (NPI# 1295995629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295995629
Entity Type Organization
Organization Name PHYSICAL THERAPY SERVICES OF GRAND RAPIDS, LLC
Practice Address 4070 Lake Dr Se
Suite: 204
Grand Rapids
MI 49546-8294
Practice Telephone 6164813690
Mailing Telephone 6164813690
Enumeration Date 2008-06-10
Last Update Date 2008-06-10
Authorized Official Name MS. KATHY LOU CARRIER (MEMBER)
Authorized Official Telephone 6164813690
Authorized Official Credential PT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Office Location

Street Address 4070 LAKE DR SE
SUITE: 204
City GRAND RAPIDS
State MI
Zip Code 49546-8294

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629054127 Michael T Vollink Optometrist 4070 Lake Dr Se, Suite 101, Grand Rapids, MI 49546-8294 2005-12-16
1174974356 Oculoplastic Associates of West Michigan, Plc Ophthalmology 4070 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8294 2016-06-28
1417365339 Cynthia Geneva Optometrist 4070 Lake Dr Se, Suite 101, Grand Rapids, MI 49546-8294 2014-07-23
1376771717 Advanced Urology of Grand Rapids Urology 4070 Lake Dr Se, Suite L101, Grand Rapids, MI 49546-8294 2009-06-24
1609018233 Mark S Obrien Md Plc Internal Medicine 4070 Lake Dr Se, Suite 201, Grand Rapids, MI 49546-8294 2009-03-27
1164686812 Tiffany Lauren Kent Ophthalmology 4070 Lake Dr Se, Suite 205, Grand Rapids, MI 49546-8294 2008-07-11
1528254877 Nephrology Consultants of Grand Rapids PC Internal Medicine 4070 Lake Dr Se, Suite 201, Grand Rapids, MI 49525 2007-09-20
1457462467 Richard Phillip Oconnor Jr. Internal Medicine 4070 Lake Dr Se, Ste 201, Grand Rapids, MI 49546-8294 2006-08-31
1972612919 David E Thompson Urology 4070 Lake Dr Se, Ste 103, Grand Rapids, MI 49546-8294 2006-08-30
1356450290 Michael Edward Novak Urology 4070 Lake Dr Se, Grand Rapids, MI 49546-8294 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821362278 Primary Rehab Center LLC Clinic/Center 2055 28th St Se Ste 7, Grand Rapids, MI 49508 2012-03-02
1417183971 Agility Health Rehabilitation LLC Clinic/Center 607 Dewey Ave Nw, Suite 300, Grand Rapids, MI 49504-7335 2009-06-10
1386739738 Physiotherapy Associates Inc Clinic/Center 515 Michigan St Ne, Grand Rapids, MI 49503-5721 2006-10-03
1346719234 Dynamic Movement and Recovery Clinic/Center 4950 Plainfield Ave Ne Ste A, Grand Rapids, MI 49525-1059 2018-11-20
1902288863 Center for Physical Rehabilitation and Therapy Lp Clinic/Center 5060 Cascade Rd Se, Suite A, Grand Rapids, MI 49546-3808 2015-06-26
1598169682 Good Life Therapy LLC Clinic/Center 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506-1674 2014-10-17
1811313612 Alans Physical Therapy of Grand Rapids Clinic/Center 111 Golf Course Rd, Suite 2, Grand Rapids, MN 55744-3526 2014-03-17
1295098945 In Home Therapy of Grand Rapids, LLC Clinic/Center 2433 Valentine Blvd Ne, Grand Rapids, MI 49525-3070 2012-06-18
1508130147 Patti Kampa Physical Therapy Clinic/Center 15 Ne 5th St, Grand Rapids, MN 55744-2760 2012-02-29
1871728816 Hulst Jepsen Physical Therapy Clinic/Center 2120 43rd St Se, Suite 100, Grand Rapids, MI 49508-3772 2009-05-20
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49546

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Dataset Information

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.

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