| Ptsportspro | |
|
1925 Breton Rd Se Ste 130, Grand Rapids, MI 49506-4810 | |
| (616) 901-3831 | |
| Not Available |
| Full Name | Ptsportspro |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1925 Breton Rd Se Ste 130, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437936192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | David Daprato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306423199 PECOS PAC ID: 7012325681 Enrollment ID: I20210420001290 |
| Provider Name | Terence Roderick Reuben |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346516440 PECOS PAC ID: 3678982733 Enrollment ID: I20240408000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Ptsportspro 1925 Breton Rd Se Ste 130, Grand Rapids, MI 49506-4810 Ph: (866) 478-7776 | Ptsportspro 1925 Breton Rd Se Ste 130, Grand Rapids, MI 49506-4810 Ph: (616) 901-3831 |
Ms. Silpa Parupalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6252 Architrave St Se, Grand Rapids, MI 49546 Phone: 616-446-1374 Fax: 616-956-0059 | |
Ryan Sanders Gary, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506 Phone: 616-248-9842 Fax: 616-248-9848 | |
Samantha Michelle Flietstra, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2161 Leonard St Nw, Grand Rapids, MI 49504 Phone: 616-453-7715 | |
Jennifer Lynne Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-262-0299 | |
Katharine Lind Thompson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-6264 | |
Dr. Lindsey Danielle Conrado, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 161-639-1177 | |
Lauren Mallory, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8000 |