Great Northern Rehab P C
NPI 1386937530 · Physical Therapist · Ironwood, MI
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Northern Rehab P C is a Physical Therapist organization in Ironwood, MI (NPI 1386937530).
Provider details
- NPI number
- 1386937530
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Richard Shutes, Ceo/President(352) 732-8868
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2011-05-20
- Last updated
- 2012-04-30
Frequently asked questions
- What is Great Northern Rehab P C's NPI number?
- Great Northern Rehab P C's National Provider Identifier (NPI) is 1386937530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Northern Rehab P C?
- Great Northern Rehab P C is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Great Northern Rehab P C located?
- Great Northern Rehab P C's practice location on file with NPPES is 1310 E Cloverland Dr, Ironwood, MI 49938-1606.
- What is Great Northern Rehab P C's phone number?
- The practice phone number listed in the NPPES registry for Great Northern Rehab P C is (906) 932-4200.
- Does Great Northern Rehab P C accept Medicare?
- Great Northern Rehab P C 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 Great Northern Rehab P C?
- The authorized official listed on Great Northern Rehab P C's NPPES record is Richard Shutes, Ceo/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Northern Rehab P C's NPI active?
- Yes — Great Northern Rehab P C's NPI (1386937530) is active in the NPPES registry as of the last update on 2012-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.