MR. ALAN JAY DETTMER (NPI# 1962479436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962479436 |
| Entity Type | Individual |
| Full Name | MR. ALAN JAY DETTMER |
| Credential | PT |
| Practice Address |
102 Donovan Dr Grand Rapids MN 55744 |
| Practice Telephone | 2182592143 |
| Mailing Telephone | 2182592143 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2014-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 7152 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
102 DONOVAN DR |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| 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 |
|---|---|---|---|---|
| 1851991392 | Daniel Paul Swanson | Physical Therapist | 2849 Michigan St Ne Ste 100, Grand Rapids, MI 49506-1216 | 2020-10-26 |
| 1902454820 | Nicholas Vandermyde | Physical Therapist | 2991 Deli Dr Ne, Grand Rapids, MI 49525-3130 | 2019-09-04 |
| 1811545031 | Kyle Vanderwoude | Physical Therapist | 933 3 Mile Rd Nw Ste 104, Grand Rapids, MI 49544-1673 | 2019-08-30 |
| 1881241032 | Peter Curtis | Physical Therapist | 120 43rd St Se # 100, Grand Rapids, MI 49548-3354 | 2019-08-22 |
| 1750934170 | Alexis Cherven | Physical Therapist | 4787 Shady Pine Ln Se, Grand Rapids, MI 49546-6334 | 2019-07-24 |
| 1386100956 | Brady Eaton Smith | Physical Therapist | 1471 E Beltline Ave Ne Ste 104, Grand Rapids, MI 49525-4548 | 2019-02-19 |
| 1487126355 | Kathleen Ann Moelker | Physical Therapist | 2100 Raybrook St Se Ste 303, Grand Rapids, MI 49546-5783 | 2018-12-17 |
| 1023587946 | Counterstrain Physical Therapy Pllc | Physical Therapist | 3501 Lake Eastbrook Blvd Se Ste 138, Grand Rapids, MI 49546-5939 | 2018-11-20 |
| 1639648728 | Elina Simonen | Physical Therapist | 630 Kenmoor Ave Se Ste 200, Grand Rapids, MI 49546-8626 | 2018-11-19 |
| 1972071504 | Stacie Bronkema | Physical Therapist | 1430 Monroe Ave Nw Ste 120, Grand Rapids, MI 49505-4678 | 2018-11-13 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
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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.