Achieve Physical Therapy and Sports Rehab, LLC

Organization Active NPI Physical Therapist · Grand Rapids, MI

NPI 1871677294 · NPPES record last updated Sep 29, 2008

Key facts

NPI
1871677294
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
ACHIEVE PHYSICAL THERAPY AND SPORTS REHAB, LLC
Practice address
2911 Knapp St NE
Suite C
Grand Rapids, MI 49525-4600
Phone
(616) 975-9078
NPI assigned
Oct 24, 2006
Organization subpart
No

Authorized official

Name
Jerome Broderick, P.T.
Title
P.T. , Owner
Phone
(616) 975-9078

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2911 Knapp St NE
#C
Grand Rapids, MI 49525

2911 Knapp St NE
Ste C
Grand Rapids, MI 49525
Phone (616) 975-9078

2911 Knapp St NE
Grand Rapids, MI 49525
Phone (616) 975-9078

4761 Lake Michigan Dr NW
Ste A
Grand Rapids, MI 49534
Phone (616) 608-9978

8485 Algoma Ave NE
Ste B
Rockford, MI 49341
Phone (616) 975-9078

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

2911 Knapp St NE
Suite C
Grand Rapids, MI 49525-4600

Mailing address

2911 Knapp St NE
Suite C
Grand Rapids, MI 49525-4600
Phone (616) 975-9078

Other providers in Grand Rapids, MI

All providers in Grand Rapids, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.