Individual provider Active NPI

Andrew Eugene Gromek, PTA

  • Physical Therapy Assistant
  • Houston, TX
National Provider Identifier
1013100999
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2037901 Issued in TX
Practice address
17270 Red Oak Dr
100
Houston, TX 77090-2618
Phone
(281) 880-1454
Fax
(281) 880-1572
NPI assigned
Aug 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2037901 TX Primary

Addresses

Primary practice location

17270 Red Oak Dr
100
Houston, TX 77090-2618

Mailing address

17270 Red Oak Dr
200
Houston, TX 77090-2618
Phone (281) 880-1454

Other names 1

  • Andy Gromek Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2037901TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1013100999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17270 RED OAK DR",
            "address_2": "200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902618",
            "telephone_number": "281-880-1454",
            "fax_number": "281-880-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17270 RED OAK DR",
            "address_2": "100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902618",
            "telephone_number": "281-880-1454",
            "fax_number": "281-880-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROMEK",
        "first_name": "ANDREW",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2037901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDY",
            "last_name": "GROMEK",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.