GREAT RIVER SPINE & SPORT
NPI 1396775110
Physical Therapist in Monticello, MN

Active since July 04, 2006
1260 HIGHWAY 25 S, MONTICELLO, MN 55362(763) 260-8401(763) 295-2208 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great River Spine & Sport NPPES

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

GREAT RIVER SPINE & SPORT (NPI 1396775110) is a healthcare organization registered as a physical therapist in Monticello, Minnesota and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Big Lake and lists Bill E Mickle, Owner, as its authorized official.

NPPES Registry Identity

NPI1396775110
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameINTEGRATED CARE CLINICS, PA
Location Address1260 HIGHWAY 25 SMonticello, MN 55362-8921
Mailing Address1260 Highway 25 SMonticello, MN 55362-8921 · (763) 263-8401 · Fax (763) 263-5900
Fax(763) 295-2208
Organization SubpartNo
Authorized OfficialBill E MickleOwner · (763) 260-8401
Enumeration DateJuly 4, 2006
Last NPPES UpdateOctober 18, 2019
NPI 1396775110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MN · 8397
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 ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 44760 (MN)
Also ListedPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineTaxonomy 2081P0004X · License 44760 (MN)
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 44760
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 44760 (MN)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R182757-0 (MN)
1260 HIGHWAY 25 S, Monticello, MN 55362

Other Names 1

Doing Business AsGreat River Spine & Sport

Secondary Practice Location 1

Location 1751 Rose Dr Ste 108Big Lake, MN 55309-8870 · Phone (763) 260-8401 ext. 2 · Fax (763) 273-8921

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
1260 HIGHWAY 25 S
MONTICELLO, MN 55362
Physical Therapist
1260 HIGHWAY 25 S
MONTICELLO, MN 55362
Chiropractor
1260 HIGHWAY 25 S
MONTICELLO, MN 55362
Massage Therapist
1260 HIGHWAY 25 S
MONTICELLO, MN 55362

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 Integrated Care Clinics, PA's NPI number?

The NPI number for Integrated Care Clinics, PA is 1396775110. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Great River Spine & Sport.

Where is Integrated Care Clinics, PA located?

Integrated Care Clinics, PA is located at 1260 Highway 25 S, Monticello, MN 55362. The listed phone number is (763) 260-8401.

What is Integrated Care Clinics, PA's specialty?

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

What insurance does Integrated Care Clinics, PA accept?

Health plans from Medica list Integrated Care Clinics, PA 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 Integrated Care Clinics, PA was last updated on October 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.