Brandi Grider

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06004464A Issued in IN

Practice address

1202 S 21St St
New Castle, IN 47362-2523

Phone

(765) 465-2332

NPI assigned

Sep 28, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1003286568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 S 21ST ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 S 21ST ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622523",
            "telephone_number": "765-465-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIDER",
        "first_name": "BRANDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A03380",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004464A",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "09159",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "A03380",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tobey Lyn Gilmore, FNP-C
• Shelley Nicole Gough, NP-C
• Robert E Gould, M.D.
• Erin Grasse, COTA
• Kenzi Greenwood, RPH
• Joseph A Grider IV, D.D.S
• Nancy W Griffith, MD
• Amie Groce, RN
• Lisa Nicole Grooms, MD
• Kristian L Guda, PT

• Physical Therapy Assistant in New Castle, IN
• Providers in New Castle, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.