Active NPI
Joseph Nathaniel Grossbard, DPT
- Physical Therapist
- West Newton, MA
National Provider Identifier
1104468867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23831
- Practice address
- 98 Warwick Rd
West Newton, MA 02465-1724 - Phone
- (415) 271-0289
- NPI assigned
- Oct 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 023831 | MA | |
| Physical Therapist | 225100000X | 23831 | MA | Primary |
Addresses
Primary practice location
98 Warwick Rd
West Newton, MA 02465-1724
Mailing address
98 Warwick Rd
West Newton, MA 02465-1724
Phone (415) 271-0289
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 |
|---|---|---|---|
| 023831 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carl Gustafson LLC | Single Specialty | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1104468867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 WARWICK RD",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024651724",
"telephone_number": "415-271-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 WARWICK RD",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024651724",
"telephone_number": "415-271-0289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSBARD",
"first_name": "JOSEPH",
"middle_name": "NATHANIEL",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-15",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "023831",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MA",
"license": "23831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.