Grand River Physical Therapy & Sports Medicine, Inc

LBN: Grand River Physical Therapy & Sports Medicine, Inc
Grand River Physical Therapy & Sports Medicine, Inc is an health care organization with primary practice located at 203 S Polk St , Albany MO 64402-1618. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Grand River Physical Therapy & Sports Medicine, Inc can be contacted via phone (660) 726-5762, or through Greene, Charles Henry via phone (660) 726-5762.

Contact Information

Primary practice address
203 S Polk St Albany MO 64402-1618
Phone: (660) 726-5762
Fax: (660) 726-5764
Website:
Map and Directions
Authorized official contact:
Name: Greene, Charles Henry MS, PT, ATC
Phone: (660) 726-5762

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 104902 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 104902 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 106862 Missouri

Profile Details

NPI number 1841231214
LBN Legal business name Grand River Physical Therapy & Sports Medicine, Inc
DBA Doing business as
Authorized official Greene, Charles Henry MS, PT, ATC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841231214 NPPES
Missouri Other 10001794500 COMMUNITY HL PLAN PROV #
Missouri Other 35391014 COMMUNITY HL PLAN PROV #

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