GRAND RAPIDS PHYSICAL THERAPY & PERFORMANCE
NPI 1083203400
Physical Therapist - Sports in Grand Rapids, MI

Q: What is Grand Rapids Physical Therapy & Performance's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Active since January 11, 2021

1236 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505(989) 780-2748 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Grand Rapids Physical Therapy & Performance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND RAPIDS PHYSICAL THERAPY & PERFORMANCE (NPI 1083203400), doing business as Onward Grand Rapids, is a healthcare organization registered as a sports in Grand Rapids, Michigan and active in the NPI registry since January 2021. The organization lists Joseph Hanisko, Owner/pt, as its authorized official.

NPPES Registry Identity

NPI1083203400

Entity TypeOrganization

Primary Taxonomy2251S0007X

Legal Business NameGRAND RAPIDS PHYSICAL THERAPY & PERFORMANCE

Location Address1236 PLYMOUTH AVE NEGrand Rapids, MI 49505-5641

Mailing Address1236 Plymouth Ave NeGrand Rapids, MI 49505-5641

Phone(989) 780-2748

Organization SubpartNo

Authorized OfficialJoseph HaniskoOwner/pt · (989) 780-2748

Enumeration DateJanuary 11, 2021

NPPES CertifiedJanuary 11, 2021

✔ NPI 1083203400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

1236 PLYMOUTH AVE NE, Grand Rapids, MI 49505

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Other Names 1

Doing Business AsOnward Grand Rapids

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Rapids Physical Therapy & Performance's NPI number?

The NPI number for Grand Rapids Physical Therapy & Performance is 1083203400. It was assigned to this organization in the NPPES registry on January 11, 2021. The provider is doing business as Onward Grand Rapids.

Where is Grand Rapids Physical Therapy & Performance located?

Grand Rapids Physical Therapy & Performance is located at 1236 Plymouth Ave NE, Grand Rapids, MI 49505. The listed phone number is (989) 780-2748.

What is Grand Rapids Physical Therapy & Performance's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Grand Rapids Physical Therapy & Performance was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.