GREAT RIVER PHYSICIANS AND CLINICS, INC (NPI# 1780141887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780141887 |
| Entity Type | Organization |
| Organization Name | GREAT RIVER PHYSICIANS AND CLINICS, INC |
| Practice Address |
2750 Mount Pleasant St Ste 104 Burlington IA 52601-2171 |
| Mailing Address |
1221 S Gear Ave West Burlington IA 52655-1679 |
| Practice Telephone | 3197527727 |
| Mailing Telephone | 3197683471 |
| Mailing Fax Number | 3197683266 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | TRINA MARIE TUCKER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 3197683471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Universal Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518912484 | Great River Physicians and Clinics, Inc | Specialist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-05-22 |
| Street Address |
2750 MOUNT PLEASANT ST STE 104 |
| City | BURLINGTON |
| State | IA |
| Zip Code | 52601-2171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750699674 | Cinnamon L Spear | Occupational Therapist | 2750 Mount Pleasant St Ste 104, Burlington, IA 52601-2136 | 2010-09-14 |
| 1255685731 | Karla A Williams | Physical Therapist | 2750 Mount Pleasant St Ste 104, Burlington, IA 52601-2136 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
| 1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
| 1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
| 1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
| 1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
| 1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
| 1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
| Find all providers in zip 52601 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063943 | Talk of The Town, LLC | Clinic/Center | 149 Hildred Dr, Burlington, VT 05401-3692 | 2020-05-05 |
| 1093222028 | Burlington Pt | Clinic/Center | 39 Birchcliff Pkwy, Burlington, VT 05401-4901 | 2017-12-28 |
| 1235162462 | Chequest Rehabilitation | Clinic/Center | 2850 Mount Pleasant St, Suite 104, Burlington, IA 52601-2002 | 2006-07-09 |
| 1558758573 | Pike Creek Enterprises, LLC | Clinic/Center | 598 Milwaukee Ave, Burlington, WI 53105-1251 | 2015-04-16 |
| 1194078576 | Inspired Physical Rehab, LLC | Clinic/Center | 281 Cambridge St Ste 101, Burlington, MA 01803-2529 | 2012-10-22 |
| 1356508576 | Us Regional Occupational Health II of New Jersey PC | Clinic/Center | 368 Lakehurst Rd, Ste 206, Burlington, NJ 08080 | 2008-05-16 |
| 1033398441 | Schroeder Physical Therapy Services, P.C. | Clinic/Center | 3211 Division St Ste 3, Burlington, IA 52601-1692 | 2007-11-01 |
| 1497944540 | Quality Physical Therapy, Inc. P.s. | Clinic/Center | 1838 S Burlington Blvd, Burlington, WA 98233 | 2007-10-15 |
| 1881773463 | Advantage Physical Therapy & Sports Rehab, LLC | Clinic/Center | 204 S Pine St, Burlington, WI 53105-1914 | 2006-11-03 |
| 1982618393 | Commonwealth Rehabilitation & Sports Medicine Psc | Clinic/Center | 5874 Veterans Way, Burlington, KY 41005-8824 | 2006-07-28 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 52601 |
Please comment or provide details below to improve the information on GREAT RIVER PHYSICIANS AND CLINICS, INC.
| 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.