Provider Demographics
NPI:1578866307
Name:RAPID PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:RAPID PHYSICAL THERAPY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUNKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KESAVAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, C-OMT
Authorized Official - Phone:616-333-2721
Mailing Address - Street 1:2020 RAYBROOK ST SE STE 101
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-7717
Mailing Address - Country:US
Mailing Address - Phone:616-333-2721
Mailing Address - Fax:616-719-1932
Practice Address - Street 1:2020 RAYBROOK ST SE STE 101
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-7717
Practice Address - Country:US
Practice Address - Phone:616-333-2721
Practice Address - Fax:616-719-1932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-16
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501009157225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty