| Gina Grantham, DPT | |
|
6137 Tittabawassee Rd Ste 3, Saginaw, MI 48603-9696 | |
| (895) 580-9049 | |
| Not Available |
| Full Name | Gina Grantham |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 6137 Tittabawassee Rd Ste 3, Saginaw, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194329896 | NPI | - | NPPES |
| 5501019829 | Other | MI | STATE OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 5501019829 (Michigan) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Entity Name | Renue 003 Saginaw Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1578845285 PECOS PAC ID: 4981870870 Enrollment ID: O20111227000057 |
| Entity Name | Renue 001 Freeland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922385707 PECOS PAC ID: 8325206535 Enrollment ID: O20120220000587 |
| Entity Name | Renue 002 Bay City Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1922379320 PECOS PAC ID: 3678735560 Enrollment ID: O20120511000056 |
| Entity Name | Renue 006 Saginaw State St Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1871835405 PECOS PAC ID: 4688817711 Enrollment ID: O20130821000483 |
| Entity Name | Renue 009 Midland Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1174963961 PECOS PAC ID: 1557596376 Enrollment ID: O20131104001170 |
| Entity Name | Renue 004 Bridgeport Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1952740466 PECOS PAC ID: 4183850266 Enrollment ID: O20131119001767 |
| Entity Name | Renue 012 Essexville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548740871 PECOS PAC ID: 7618211236 Enrollment ID: O20181207000491 |
| Entity Name | Renue 018 Tawas, Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1790452043 PECOS PAC ID: 1759779853 Enrollment ID: O20211021003168 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Grantham, DPT 804 N Water St, Bay City, MI 48708-5620 Ph: (989) 450-3341 | Gina Grantham, DPT 6137 Tittabawassee Rd Ste 3, Saginaw, MI 48603-9696 Ph: (895) 580-9049 |