Active NPI
Matthew Granquist, PT, DPT
- Orthopedic Physical Therapist
- Burlington, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 004179
- Practice address
- 3211 Division St Ste 3
Burlington, IA 52601-1692 - Phone
- (319) 754-7899
- NPI assigned
- Jul 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 004179 | IA | Primary |
| Physical Therapist | 225100000X | 004179 | IA |
Addresses
Primary practice location
3211 Division St Ste 3
Burlington, IA 52601-1692
Mailing address
850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111004000081 | IA | Practitioner - Physical Therapist in Private Practice | 6103098702 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rock Valley Physical Therapy Center
Practice addresses (Care Compare)
1700 N Division St
Suite 200
Davenport, IA 52804-3535
Phone (563) 324-2263
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.11 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 73.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004179 | IA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Valley Physical Therapy Center | Physical Therapist | Current | Accepting new patients |
| Rock Valley Physical Therapy Center | Physical Therapist | Current | Accepting new patients |
Locations
3211 Division St
Ste 3
Burlington, IA 52601
Phone (319) 754-7899
1700 N Division St
Ste 200
Davenport, IA 52804
Phone (563) 324-2263
2109 Cedarwood Dr
Ste 100
Muscatine, IA 52761
Phone (563) 288-6787
400 Ovesen Dr
Wilton, IA 52778
Phone (563) 732-2121
850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Moline, IL
- NPI 1245373166
IA, Physical Therapist
-
- Occupational Therapist
- Eldridge, IA
- NPI 1881540490
Physical Therapist
-
- Physical Therapist
- Clinton, IA
- NPI 1366724874
-
- Physical Therapist
- West Des Moines, IA
- NPI 1790828457
-
- Occupational Therapist
- Geneseo, IL
- NPI 1972261535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1154618841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 43RD AVE STE 100",
"city": "MOLINE",
"state": "IL",
"postal_code": "612658401",
"telephone_number": "309-743-2070",
"fax_number": "309-743-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3211 DIVISION ST STE 3",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526011692",
"telephone_number": "319-754-7899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANQUIST",
"first_name": "MATTHEW",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-01",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IA",
"license": "004179",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004179",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.