ALANS PHYSICAL THERAPY OF GRAND RAPIDS (NPI# 1811313612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811313612 |
| Entity Type | Organization |
| Organization Name | ALANS PHYSICAL THERAPY OF GRAND RAPIDS |
| Practice Address |
111 Golf Course Rd Suite 2 Grand Rapids MN 55744-3526 |
| Practice Telephone | 2189995554 |
| Practice Fax Number | 2189997620 |
| Mailing Telephone | 2189995554 |
| Mailing Fax Number | 2189997620 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-06-26 |
| Authorized Official Name | ALAN JAY DETTMER (OWNER) |
| Authorized Official Telephone | 2189995554 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
7152 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1962479436 | 05 |
| Street Address |
111 GOLF COURSE RD SUITE 2 |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396745576 | Paul Norman Olson | Radiology | 111 Golf Course Rd, Grand Rapids, MN 55744-3526 | 2005-07-28 |
| 1124427414 | Northern Pines Orthopaedic Center, LLC | Clinic/Center | 111 Golf Course Rd, Suite 3, Grand Rapids, MN 55744-3526 | 2014-08-22 |
| 1831268978 | Radtke Physical Therapy Limited Partnership | Physical Therapist | 111 Golf Course Rd, Suite 2, Grand Rapids, MN 55744-3526 | 2006-11-06 |
| 1902875040 | Donald M Carlson | Physical Therapist | 111 Golf Course Rd, Grand Rapids, MN 55744-3526 | 2006-03-14 |
| 1144290958 | Daniel L Baker | Orthopaedic Surgery | 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526 | 2006-01-24 |
| 1356321467 | Jeffery J Temple | Nurse Practitioner | 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526 | 2006-01-17 |
| 1508846619 | Northern Pines Orthopaedic Clinic, P.a. | Orthopaedic Surgery | 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526 | 2006-01-17 |
| 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 | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821362278 | Primary Rehab Center LLC | Clinic/Center | 2055 28th St Se Ste 7, Grand Rapids, MI 49508 | 2012-03-02 |
| 1417183971 | Agility Health Rehabilitation LLC | Clinic/Center | 607 Dewey Ave Nw, Suite 300, Grand Rapids, MI 49504-7335 | 2009-06-10 |
| 1386739738 | Physiotherapy Associates Inc | Clinic/Center | 515 Michigan St Ne, Grand Rapids, MI 49503-5721 | 2006-10-03 |
| 1346719234 | Dynamic Movement and Recovery | Clinic/Center | 4950 Plainfield Ave Ne Ste A, Grand Rapids, MI 49525-1059 | 2018-11-20 |
| 1902288863 | Center for Physical Rehabilitation and Therapy Lp | Clinic/Center | 5060 Cascade Rd Se, Suite A, Grand Rapids, MI 49546-3808 | 2015-06-26 |
| 1598169682 | Good Life Therapy LLC | Clinic/Center | 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506-1674 | 2014-10-17 |
| 1295098945 | In Home Therapy of Grand Rapids, LLC | Clinic/Center | 2433 Valentine Blvd Ne, Grand Rapids, MI 49525-3070 | 2012-06-18 |
| 1508130147 | Patti Kampa Physical Therapy | Clinic/Center | 15 Ne 5th St, Grand Rapids, MN 55744-2760 | 2012-02-29 |
| 1871728816 | Hulst Jepsen Physical Therapy | Clinic/Center | 2120 43rd St Se, Suite 100, Grand Rapids, MI 49508-3772 | 2009-05-20 |
| 1295995629 | Physical Therapy Services of Grand Rapids, LLC | Clinic/Center | 4070 Lake Dr Se, Suite: 204, Grand Rapids, MI 49546-8294 | 2008-06-10 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
Please comment or provide details below to improve the information on ALANS PHYSICAL THERAPY OF GRAND RAPIDS.
| 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.