RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP (NPI# 1174854350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174854350 |
| Entity Type | Organization |
| Organization Name | RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP |
| Practice Address |
1542 Golf Course Rd Suite 104 Grand Rapids MN 55744-3555 |
| Practice Telephone | 2183263300 |
| Practice Fax Number | 2183263400 |
| Mailing Telephone | 2183263300 |
| Mailing Fax Number | 2183263400 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Authorized Official Name | CHRIS CORRIGAN (VP, AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7132977000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063502722 | Radtke Physical Therapy Limited Partnership | Physical Therapist | 832 1st St, Suite 140, Nashwauk, MN 55769-1240 | 2006-10-13 |
| 1831268978 | Radtke Physical Therapy Limited Partnership | Physical Therapist | 111 Golf Course Rd, Suite 2, Grand Rapids, MN 55744-3526 | 2006-11-06 |
| 1235176108 | Radtke Physical Therapy Limited Partnership | Physical Therapist | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-9603 | 2006-06-01 |
| Street Address |
1542 GOLF COURSE RD SUITE 104 |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744-3555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700879756 | John A Moran | Ophthalmology | 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744 | 2005-08-24 |
| 1326683988 | Matthew Davis Borowski | Specialist/Technologist | 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 | 2019-11-07 |
| 1538672548 | Kjerstin G Durie | Physician Assistant | 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 | 2017-11-13 |
| 1104217785 | Sarah Jean Levar | Occupational Therapist | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 | 2015-02-18 |
| 1871926691 | Andrew Michael Mccann | Physical Therapist | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 | 2013-08-15 |
| 1093152423 | Deer River Healthcare Center, Inc. | Clinic/Center | 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 | 2013-05-24 |
| 1245538750 | Anne Marie Grozdanich | Nurse Practitioner | 1542 Golf Course Rd, Suite 203, Grand Rapids, MN 55744-3555 | 2011-03-08 |
| 1659509362 | Lanea D Johnson | Occupational Therapist | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 | 2009-07-01 |
| 1376734418 | Susan L Anderson | Registered Nurse | 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3555 | 2007-08-05 |
| 1659578417 | Barry J Pederson | Physical Therapist | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 | 2007-06-27 |
| Find all providers in the same location | ||||
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689232134 | Supersomnia LLC | Durable Medical Equipment & Medical Supplies | 6886 Cascade Rd Se Ste D, Grand Rapids, MI 49546-6879 | 2019-05-30 |
| 1649723263 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 555 Michigan St Ne Ste 100, Grand Rapids, MI 49503-5753 | 2016-08-01 |
| 1285050435 | Grace Audrey Miller | Durable Medical Equipment & Medical Supplies | 2824 Thornapple River Dr Se, Grand Rapids, MI 49546-6844 | 2014-03-12 |
| 1962830794 | Jerry Burgess Mulder | Durable Medical Equipment & Medical Supplies | 426 Michigan St Ne Ste 207, Grand Rapids, MI 49503-5608 | 2013-10-14 |
| 1447504337 | Integrated Sales and Marketing | Durable Medical Equipment & Medical Supplies | 3721 Pine Park Ct Se, Grand Rapids, MI 49546-9129 | 2012-10-31 |
| 1265705198 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 230 Michigan St Ne Ste 200, Grand Rapids, MI 49503 | 2012-02-23 |
| 1912205030 | Begin Healing, Inc | Durable Medical Equipment & Medical Supplies | 2300 Sw 11th St, Grand Rapids, MN 55744-9777 | 2011-03-14 |
| 1861796112 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3590 Plainfield Ave Ne, Grand Rapids, MI 49525-2719 | 2010-12-30 |
| 1811207350 | Spectrum Health Primary Care Partners | Durable Medical Equipment & Medical Supplies | 4085 Burton Se, Suite 102, Grand Rapids, MI 49546 | 2010-10-18 |
| 1184940074 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 5005 Cascade Rd Se Ste C, Grand Rapids, MI 49546-8411 | 2010-04-16 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
Please comment or provide details below to improve the information on RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP.
| 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.