Active NPI
Alicia Beth Grossman, PT
- Physical Therapist
- Great Neck, NY
National Provider Identifier
1104371574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008731-1
- Practice address
- 475 Northern Blvd
Suite 11
Great Neck, NY 11021-4819 - Phone
- (516) 829-0030
- Fax
- (516) 466-7723
- NPI assigned
- Aug 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 008731-1 | NY | Primary |
Addresses
Primary practice location
475 Northern Blvd
Suite 11
Great Neck, NY 11021-4819
Mailing address
475 Northern Blvd
Suite 29
Great Neck, NY 11021-4819
Phone (516) 829-0030
Other names 1
- Alicia Beth Grossman-Hochler
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008731 | NY | MD | Clinical Psychologist |
| 008731-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1104371574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 NORTHERN BLVD",
"address_2": "SUITE 29",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214819",
"telephone_number": "516-829-0030",
"fax_number": "516-466-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 NORTHERN BLVD",
"address_2": "SUITE 11",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214819",
"telephone_number": "516-829-0030",
"fax_number": "516-466-7723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "ALICIA",
"middle_name": "BETH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-16",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "008731-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICIA",
"last_name": "GROSSMAN-HOCHLER",
"middle_name": "BETH",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.