Judy Grubb, LPTA
Individual provider Active NPI Physical Therapy Assistant · Brewster, OH
NPI 1013471077 · NPPES record last updated Jan 24, 2019
Key facts
- NPI
- 1013471077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5316 (OH)
- Practice address
- 264 Mohican St NE
Brewster, OH 44613-1199 - Phone
- (330) 767-4179
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5316 | OH | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5316 | OH | Yes |
Addresses
Primary practice location
264 Mohican St NE
Brewster, OH 44613-1199
Mailing address
15091 Orrville St NW
North Lawrence, OH 44666-9610
Phone (330) 904-4374
Other providers in Brewster, OH
- Alisha Nicole Anderson
- Brewster Parke Assisted Living
- Brewster Parke, Inc.
- Charles P Cather
- Morgen Durant
- Krystal Hewitt
- K C Health Services
- K-C Health Services Inc
- Jennifer Jo McDonald
- Taryn Renee Shackle
All providers in Brewster, OH · Physical Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.