GRAND RIVER PHYSICAL THERAPY & SPORTS MEDICINE, INC (NPI# 1841231214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841231214 |
| Entity Type | Organization |
| Organization Name | GRAND RIVER PHYSICAL THERAPY & SPORTS MEDICINE, INC |
| Practice Address |
203 S Polk St Albany MO 64402-1618 |
| Practice Telephone | 6607265762 |
| Practice Fax Number | 6607265764 |
| Mailing Telephone | 6607265762 |
| Mailing Fax Number | 6607265764 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHARLES HENRY GREENE III (PRESIDENT) |
| Authorized Official Telephone | 6607265762 |
| Authorized Official Credential | MS, PT, ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225100000X | Physical Therapist | 104902 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251S0007X |
Physical Therapist Specialization: Sports |
104902 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
106862 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | COMMUNITY HL PLAN PROV # | 10001794500 | 01 |
| MO | BC/BS GROUP BILLING NUMBE | 35391014 | 01 |
| Street Address |
203 S POLK ST |
| City | ALBANY |
| State | MO |
| Zip Code | 64402-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073554986 | Charles Henry Greene IIi | Physical Therapist | 203 S Polk St, Albany, MO 64402-1618 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821137266 | Howell Place LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1304 East Howell St, Albany, MO 64402 | 2007-02-05 |
| 1790837318 | Thomas Clinton Schneider | Dentist | 307 W Clay, Albany, MO 64402 | 2007-01-16 |
| 1245391028 | State of Missouri | Day Training, Developmentally Disabled Services | 809 N 13th St, Albany, MO 64402 | 2006-12-13 |
| 1427603919 | Northwest Health Services, Inc. | Clinic/Center | 101 W Jefferson St, Albany, MO 64402-1237 | 2019-08-02 |
| 1881725497 | Tlc Care Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 402 W Jefferson St, Albany, MO 64402-1242 | 2007-03-07 |
| 1174966543 | Albany Behavioral Health Services | Community/Behavioral Health | 115 N Smith St, Albany, MO 64402-1250 | 2013-04-16 |
| 1588973929 | Mary-jennifer Elizabeth Quinley | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2010-10-04 |
| 1942768197 | Kari A O'neal LLC | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2019-03-06 |
| 1467833707 | Kari Ann Oneal | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2015-06-12 |
| 1134541659 | Ssm Regional Health Services | Ophthalmology | 115 N Smith St, Albany, MO 64402-1250 | 2014-01-17 |
| Find all providers in zip 64402 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542758 | Sita Shijie Sweet Wong | Physical Therapist | 718 Evelyn Ave, Albany, CA 94706-1707 | 2020-09-11 |
| 1801408885 | Clare Marie Herubin | Physical Therapist | 21 Fleetwood Ave, Albany, NY 12208-2307 | 2020-08-20 |
| 1386261063 | Yung-en Perng | Physical Therapist | 1241 Solano Ave Apt 24, Albany, CA 94706-1742 | 2020-06-29 |
| 1497381164 | Albany Physical Therapy Ltd Co | Physical Therapist | 445 Kenshalo St, Albany, TX 76430 | 2020-03-13 |
| 1790343325 | Jennifer Lynn Knox | Physical Therapist | 747 Madison Ave Ste 1, Albany, NY 12208-3385 | 2019-05-29 |
| 1043774839 | Anmare Sumaylo Catalan | Physical Therapist | 43 New Scotland Avenue, Mail Code 103, Albany, NY 12208-3479 | 2019-01-25 |
| 1093290066 | Jessica Nicole Nutter | Physical Therapist | 3 Atrium Dr Ste 110, Albany, NY 12205-1417 | 2018-09-26 |
| 1427545573 | Positive Motion Physical Therapy, Pllc | Physical Therapist | 21a Railroad Ave Ste B, Albany, NY 12205-5931 | 2018-04-15 |
| 1417493511 | Beth Markowitz | Physical Therapist | 407 Cornell Ave, Apt 12, Albany, CA 94706-1262 | 2017-01-12 |
| 1619410206 | Mackenzie Trevellyan | Physical Therapist | 1873 Western Ave Ste 102, Albany, NY 12203-5028 | 2016-11-30 |
| Find all providers in ALBANY | ||||
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| 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.