Organization Active NPI

GRT Practice Group PLC

  • Family Medicine Physician
  • Burlington, MA
National Provider Identifier
1093679409
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRT PRACTICE GROUP PLC
Practice address
111 S Bedford St Ste 205
Burlington, MA 01803-5145
Phone
(800) 683-8313
NPI assigned
Dec 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Jacob Crothers
Title
Authorized Official
Phone
(800) 683-8313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

111 S Bedford St Ste 205
Burlington, MA 01803-5145

Mailing address

111 S Bedford St Ste 205
Burlington, MA 01803-5145

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1093679409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S BEDFORD ST STE 205",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S BEDFORD ST STE 205",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035145",
            "telephone_number": "800-683-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRT PRACTICE GROUP PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "CROTHERS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "800-683-8313"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.