OrganizationActive
Great River Therapy Inc
NPI 1003128869 · Physical Therapist · Red Wing, MN
Provider details
- NPI number
- 1003128869
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Erik Gram, President(651) 388-7511
- License
- 1490 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
416 W 3rd St
Red Wing, MN 55066-2384
Phone: (651) 388-7511
Fax: (651) 388-2369
Street-level locationGet directions
Mailing address
416 W 3rd St
Red Wing, MN 55066-2384
Registry dates
- Enumerated
- 2010-07-09
- Last updated
- 2010-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.