Grand River Physical Therapy & Sports Medicine, Inc is a
Specialist/technologist - Athletic Trainer based in Albany, Missouri. Grand River Physical Therapy & Sports Medicine, Inc is licensed to practice in Missouri (license number 106862) and their current practice location is
203 S Polk St, Albany, Missouri. It can be reached at their office (for appointments etc.) via phone at
(660) 726-5762.
NPI number for Grand River Physical Therapy & Sports Medicine, Inc is 1841231214 and their current mailing address is 203 S Polk St, Albany, Missouri. Grand River Physical Therapy & Sports Medicine, Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1841231214.
Healthcare Provider's Profile
Full Name | Grand River Physical Therapy & Sports Medicine, Inc |
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Type | Facility |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 203 S Polk St, Albany, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841231214
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Grand River Physical Therapy & Sports Medicine, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841231214 | NPI | - | NPPES |
10001794500 | Other | MO | COMMUNITY HL PLAN PROV # |
35391014 | Other | MO | BC/BS GROUP BILLING NUMBE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 104902 (Missouri) | Primary |
2251S0007X | Physical Therapist - Sports | 104902 (Missouri) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | 106862 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grand River Physical Therapy & Sports Medicine, Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Grand River Physical Therapy & Sports Medicine, Inc 203 S Polk St, Albany, MO 64402-1618 Ph: (660) 726-5762 | Grand River Physical Therapy & Sports Medicine, Inc 203 S Polk St, Albany, MO 64402-1618 Ph: (660) 726-5762 |
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