Individual provider Active NPI

Stephanie Gross

  • Pediatric Physical Therapist
  • Toledo, OH
National Provider Identifier
1033840657
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT017277 Issued in OH
Practice address
3930 Sunforest CT Ste 200
Toledo, OH 43623-4441
Phone
(419) 251-0070
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017277 OH
Pediatric Physical Therapist 2251P0200X 5501019746 MI
Pediatric Physical Therapist 2251P0200X PT017277 OH Primary

Addresses

Primary practice location

3930 Sunforest CT Ste 200
Toledo, OH 43623-4441

Mailing address

2222 Cherry St Ste 1900
Toledo, OH 43608-2673
Phone (419) 251-3878

Other practice location 1

7223 Maumee Western Rd
Maumee, OH 43537-9755
Phone (419) 251-0070

Other practice location 2

6118 Cedar Point Rd
Oregon, OH 43616-5201
Phone (419) 251-0070

Other practice location 3

44 W Samaria Rd
Temperance, MI 48182-9680
Phone (419) 251-0070

Other practice location 4

7435 Berridge Rd
Whitehouse, OH 43571-9348
Phone (419) 251-0070

Other identifiers 1

IdentifierTypeStateIssuer
0027748MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107001623 OH Practitioner - Other (Non-Physician) 0143758912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019746MIMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pediatric Specialists, LLC CurrentSince Oct 4, 2024 Accepting new patients

Locations

44 W Samaria Rd
Temperance, MI 48182
Phone (419) 251-0070

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259

7223 Maumee Western Rd
Maumee, OH 43537
Phone (419) 251-0070

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2222 Cherry St
Ste 1900
Toledo, OH 43608

3930 Sunforest Ct
Ste 200
Toledo, OH 43623
Phone (419) 251-0070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1033840657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST STE 1900",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082673",
            "telephone_number": "419-251-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 SUNFOREST CT STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234441",
            "telephone_number": "419-251-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7223 Maumee Western Rd",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435379755",
            "country_code": "US",
            "telephone_number": "419-251-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6118 Cedar Point Rd",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436165201",
            "country_code": "US",
            "telephone_number": "419-251-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 W Samaria Rd",
            "address_purpose": "LOCATION",
            "city": "Temperance",
            "state": "MI",
            "postal_code": "481829680",
            "country_code": "US",
            "telephone_number": "419-251-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7435 Berridge Rd",
            "address_purpose": "LOCATION",
            "city": "Whitehouse",
            "state": "OH",
            "postal_code": "435719348",
            "country_code": "US",
            "telephone_number": "419-251-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017277",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MI",
            "license": "5501019746",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OH",
            "license": "PT017277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027748",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.