Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Rapids Physical Therapy & Performance

Organization Sports Physical Therapist · NPI 1083203400

Grand Rapids Physical Therapy & Performance is a Sports Physical Therapist in Grand Rapids, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1236 Plymouth Ave NE
Grand Rapids, MI 49505-5641
Phone: (989) 780-2748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X

Record details

NPI number1083203400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Hanisko — Owner/Pt · (989) 780-2748
Other names Onward Grand Rapids
NPI enumeratedJanuary 11, 2021
Last updated in NPPESJanuary 11, 2021
Certification dateJanuary 11, 2021
Mailing address1236 Plymouth Ave Ne, Grand Rapids, MI 49505-5641