Organization
GRAND RIVER REHABILITATION LLC
Active
Organization
GRAND RIVER REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM JOSEPH RUSH MD (OWNER)
(616) 780-7389
Entity
Organization
Contact information
Practice address
412 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6028
(616) 780-2324
(877) 991-4975
Mailing address
412 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6028
(616) 780-2324
(877) 991-4975
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301091218
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301091218
MI
2081P0010X
Pediatric Rehabilitation Medicine Physician
4301091218
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528095643
NPI ENUMERATOR
—
Enumeration date
05/19/2018
Last updated
05/12/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up