Grand River Rehabilitation LLC
NPI 1124519707 · Physical Medicine & Rehabilitation Physician · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand River Rehabilitation LLC is a Physical Medicine & Rehabilitation Physician organization in Grand Rapids, MI (NPI 1124519707).
Provider details
- NPI number
- 1124519707
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adam Rush, Owner(616) 780-7389
- License
- 4301091218 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Registry dates
- Enumerated
- 2018-05-19
- Last updated
- 2023-05-12
- Certified
- 2023-05-12
Frequently asked questions
- What is Grand River Rehabilitation LLC's NPI number?
- Grand River Rehabilitation LLC's National Provider Identifier (NPI) is 1124519707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand River Rehabilitation LLC?
- Grand River Rehabilitation LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Grand River Rehabilitation LLC located?
- Grand River Rehabilitation LLC's practice location on file with NPPES is 412 Plymouth Ave Ne, Grand Rapids, MI 49505-6028.
- What is Grand River Rehabilitation LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand River Rehabilitation LLC is (616) 780-2324.
- Does Grand River Rehabilitation LLC accept Medicare?
- Grand River Rehabilitation LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grand River Rehabilitation LLC?
- The authorized official listed on Grand River Rehabilitation LLC's NPPES record is Adam Rush, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand River Rehabilitation LLC's NPI active?
- Yes — Grand River Rehabilitation LLC's NPI (1124519707) is active in the NPPES registry as of the last update on 2023-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.