Grand River Rehabilitation LLC
NPI 1124519707ActiveOrganization· Physical Medicine & Rehabilitation· Grand Rapids, MI
Physical Medicine & Rehabilitation in Grand Rapids, Michigan, registered in NPPES in May 2018. The authorized official on file is Adam Joseph Rush, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124519707 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2018 |
| Last updated in NPPES | May 12, 2023 |
| Certified by provider | May 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | 4301091218 | MI |
| Pediatrics | 208000000X | 4301091218 | MI |
| Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine | 2081P0010X | 4301091218 | MI |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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