Grand River Physical Therapy & Sports Medicine, Inc - in Albany, MO

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.

Contact Information

Grand River Physical Therapy & Sports Medicine, Inc
203 S Polk St,
Albany, MO 64402-1618
(660) 726-5762
(660) 726-5764



Healthcare Provider's Profile

Full NameGrand River Physical Therapy & Sports Medicine, Inc
TypeFacility
SpecialitySpecialist/technologist - Athletic Trainer
Location203 S Polk St, Albany, Missouri
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1841231214NPI-NPPES
10001794500OtherMOCOMMUNITY HL PLAN PROV #
35391014OtherMOBC/BS GROUP BILLING NUMBE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 104902 (Missouri)Primary
2251S0007XPhysical Therapist - Sports 104902 (Missouri)Primary
2255A2300XSpecialist/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 AddressPractice 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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