PRIMARY REHAB CENTER LLC (NPI# 1821362278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821362278 |
| Entity Type | Organization |
| Organization Name | PRIMARY REHAB CENTER LLC |
| Practice Address |
2055 28th St Se Ste 7 Grand Rapids MI 49508 |
| Mailing Address |
2055 28th St Se Ste 7 Grand Rapids MI 49508-1582 |
| Practice Telephone | 6162457013 |
| Practice Fax Number | 6162457018 |
| Mailing Telephone | 6162457013 |
| Mailing Fax Number | 6162457018 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |
| Authorized Official Name | MRS. MARICARMEN RAMIREZ (OFFICE MANAGER) |
| Authorized Official Telephone | 6162457013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
2055 28TH ST SE STE 7 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902231418 | Rony Helmar Barillas | Physical Therapy Assistant | 2055 28th St Se Ste 7, Grand Rapids, MI 49508-1582 | 2013-09-04 |
| 1144568502 | Yoisler Herrera Sr. | Chiropractor | 2055 28th St Se Ste 7, Grand Rapids, MI 49508-1582 | 2013-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1295995629 | Physical Therapy Services of Grand Rapids, LLC | Clinic/Center | 4070 Lake Dr Se, Suite: 204, Grand Rapids, MI 49546-8294 | 2008-06-10 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49508 |
Please comment or provide details below to improve the information on PRIMARY REHAB CENTER LLC.
| 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.