Individual provider Active NPI

Lauren Grawe, DPT

  • Physical Therapist
  • Clarence, NY
National Provider Identifier
1083918718
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033158 Issued in NY
Practice address
10570 Bergtold Road
Clarence, NY 14031
Phone
(716) 759-7680
Fax
(716) 759-0197
NPI assigned
Jan 10, 2011
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6321 SC
Physical Therapist 225100000X 2305206729 VA
Physical Therapist 225100000X P12898 NC
Physical Therapist 225100000X 033158 NY Primary

Addresses

Primary practice location

10570 Bergtold Road
Clarence, NY 14031

Mailing address

10570 Bergtold Road
Clarence, NY 14031
Phone (716) 759-7680

Other names 1

  • Lauren Chetney Former 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
P12898NCMDPhysical Therapist
033158NYMDPhysical Therapist
6321SCMDPhysical Therapist
2305206729VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1083918718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10570 BERGTOLD ROAD",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "14031",
            "telephone_number": "716-759-7680",
            "fax_number": "716-759-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10570 BERGTOLD ROAD",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "14031",
            "telephone_number": "716-759-7680",
            "fax_number": "716-759-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAWE",
        "first_name": "LAUREN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6321",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206729",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P12898",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "CHETNEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.