Active NPI
Thomas Groth, DPT
- Physical Therapist
- Dakota, MN
National Provider Identifier
1104364702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10353
- Practice address
- 29856 Stony Ridge Rd
Dakota, MN 55925-4025 - Phone
- (507) 458-0746
- NPI assigned
- Feb 3, 2017
- Last updated
- Feb 3, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10353 | MN | Primary |
Addresses
Primary practice location
29856 Stony Ridge Rd
Dakota, MN 55925-4025
Mailing address
29856 Stony Ridge Rd
Dakota, MN 55925-4025
Phone (507) 458-0746
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 |
|---|---|---|---|
| Gundersen Lutheran Medical Center, Inc. | 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.
-
dba Emplify Health Hospice
- Community Based Hospice Care Agency
- La Crosse, WI
- NPI 1013943893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1104364702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29856 STONY RIDGE RD",
"city": "DAKOTA",
"state": "MN",
"postal_code": "559254025",
"telephone_number": "507-458-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29856 STONY RIDGE RD",
"city": "DAKOTA",
"state": "MN",
"postal_code": "559254025",
"telephone_number": "507-458-0746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTH",
"first_name": "THOMAS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-03",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.