OrganizationActive
Achieve Physical Therapy and Sports Rehab, LLC
NPI 1871677294 · Physical Therapist · Grand Rapids, MI
Provider details
- NPI number
- 1871677294
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jerome Broderick, P.T. , Owner(616) 975-9078
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2911 Knapp St Ne
Suite C
Grand Rapids, MI 49525-4600
Phone: (616) 975-9078
Approximate (ZIP-level) locationGet directions
Mailing address
2911 Knapp St Ne
Grand Rapids, MI 49525-4600
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2008-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.