Active NPI
Tammy M Groenwald, DPT
- Orthopedic Physical Therapist
- Gilbert, AZ
National Provider Identifier
1073775805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 8051
- Practice address
- 5656 S Power Rd
Ste 116
Gilbert, AZ 85295-8487 - Phone
- (480) 840-3636
- Fax
- (480) 840-3640
- NPI assigned
- Jul 2, 2008
- Last updated
- Jul 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 8051 | AZ | Primary |
Addresses
Primary practice location
5656 S Power Rd
Ste 116
Gilbert, AZ 85295-8487
Mailing address
6112 E Brown Rd
Ste 101
Mesa, AZ 82505
Phone (480) 827-9707
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WS Perry LLC | Orthopedic | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1073775805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6112 E BROWN RD",
"address_2": "STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "82505",
"telephone_number": "480-827-9707",
"fax_number": "480-962-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5656 S POWER RD",
"address_2": "STE 116",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852958487",
"telephone_number": "480-840-3636",
"fax_number": "480-840-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROENWALD",
"first_name": "TAMMY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "8051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.