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Grand River Physical Therapy & Sports Medicine, Inc

Athletic Trainer in Albany, MO · enumerated 2006 · authorized official Charles Greene, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841231214

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Registry record

Entity type Organization (Type 2)
Legal business name Grand River Physical Therapy & Sports Medicine, Inc
Practice address 203 S Polk St, Albany, MO, 64402
Fax (660) 726-5764
Enumeration date Jun 9, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 104902 (MO) Secondary
2251S0007X Sports Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 104902 (MO) Secondary
2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 106862 (MO) Primary

Authorized official

Name Charles Greene
Title President

Other identifiers

Identifier Type State Issuer
10001794500 Other MO COMMUNITY HL PLAN PROV #
35391014 Other MO BC/BS GROUP BILLING NUMBE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Grand River Physical Therapy & Sports Medicine, Inc?
Grand River Physical Therapy & Sports Medicine, Inc is registered in NPPES as a Athletic Trainer (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.