GREAT NORTHERN REHAB P C
NPI 1386937530
Physical Therapist in Ironwood, MI

Active since May 20, 2011
1310 E CLOVERLAND DR, IRONWOOD, MI 49938(906) 932-4200(906) 932-4201 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Great Northern Rehab P C NPPES

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

GREAT NORTHERN REHAB P C (NPI 1386937530) is a healthcare organization registered as a physical therapist in Ironwood, Michigan and active in the NPI registry since May 2011. The organization lists Richard W Shutes, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1386937530
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameGREAT NORTHERN REHAB P C
Location Address1310 E CLOVERLAND DRIronwood, MI 49938-1606
Mailing Address2620 Se Maricamp RdOcala, FL 34471-5582 · (352) 732-8868 · Fax (352) 732-8890
Fax(906) 932-4201
Organization SubpartNo
Authorized OfficialRichard W ShutesCeo/president · (352) 732-8868
Enumeration DateMay 20, 2011
Last NPPES UpdateApril 30, 2012
✔ NPI 1386937530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
1310 E CLOVERLAND DR, Ironwood, MI 49938

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Northern Rehab P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Great Northern Rehab P C, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Occupational Therapist in Private Practice
NPI 1245504562
1310 E CLOVERLAND DR
Ironwood, MI 49938
(903) 932-4200
Same address
Physical Therapist in Private Practice
NPI 1760791974
1319 BEASER AVE
Ashland, WI 54806
(715) 682-3468
36 mi
Physical Therapist in Private Practice
NPI 1285824581
N5241 US HIGHWAY 45
Watersmeet, MI 49969
(906) 358-4588
✔ Accepts Medicare48 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Great Northern Rehab P C's NPI number?

The NPI number for Great Northern Rehab P C is 1386937530. It was assigned to this organization in the NPPES registry on May 20, 2011.

Where is Great Northern Rehab P C located?

Great Northern Rehab P C is located at 1310 E Cloverland Dr, Ironwood, MI 49938. The listed phone number is (906) 932-4200.

What is Great Northern Rehab P C's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Great Northern Rehab P C enrolled in Medicare?

Yes. Great Northern Rehab P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Northern Rehab P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Great Northern Rehab P C, in Occupational Therapist in Private Practice and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Great Northern Rehab P C accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Security Health Plan list Great Northern Rehab P C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Northern Rehab P C was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.