Individual provider Active NPI

Ryan J Grube, PT

  • Physical Therapist
  • Dillsburg, PA
National Provider Identifier
1124077607
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013693L Issued in PA
Practice address
868 N US Route 15
Dillsburg, PA 17019-1617
Phone
(717) 973-5813
Fax
(717) 715-1064
NPI assigned
May 10, 2006
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013693L PA Primary

Addresses

Primary practice location

868 N US Route 15
Dillsburg, PA 17019-1617

Mailing address

4750 Lindle Road
Suite 100
Harrisburg, PA 17111-2428
Phone (717) 803-3342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040126000896 PA Practitioner - Physical Therapist in Private Practice 7113829581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Memory Lane Ext
Suite a
York, PA 17402-9608
Phone (717) 305-1757

3127 A Cape Horn Rd
Red Lion, PA 17356-9071
Phone (717) 220-8286

3212 Cape Horn Rd
Unit 2
Red Lion, PA 17356-9073
Phone (717) 220-8266

558 Shrewsbury Commons Ave
Shrewsbury, PA 17361-1615
Phone (717) 803-3344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013693LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince Dec 20, 2023 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 26, 2009 Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince Dec 20, 2023 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 26, 2009 Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

868 N US Route 15
Dillsburg, PA 17019
Phone (717) 973-5313

5665B Main St
East Petersburg, PA 17520
Phone (717) 406-3904

108 N Reading Rd
#G
Ephrata, PA 17522
Phone (717) 803-2901

4750 Lindle Rd
Ste 100
Harrisburg, PA 17111
Phone (717) 803-3342

8125 Adams Dr
#B
Hummelstown, PA 17036
Phone (717) 220-2020

8205 Presidents Dr
#2
Hummelstown, PA 17036
Phone (717) 803-2560

8205 Presidents Dr
Fl First
Hummelstown, PA 17036
Phone (717) 220-2020

2125 Noll Dr
Lancaster, PA 17603

2125 Noll Dr
Ste 100
Lancaster, PA 17603
Phone (717) 291-9920

702 Creekside Ln
Lititz, PA 17543
Phone (717) 568-6418

302 W Main St
Ste 101
Middletown, PA 17057
Phone (717) 388-1119

365 Comet Dr
#A
Millersville, PA 17551
Phone (717) 584-6590

901 E Main St
Ste 15
Palmyra, PA 17078
Phone (717) 803-2180

340 Hartman Bridge Rd
Ronks, PA 17572
Phone (570) 842-9323

558 Shrewsbury Commons Ave
Shrewsbury, PA 17361
Phone (717) 803-3344

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1124077607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 LINDLE ROAD",
            "address_2": "SUITE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112428",
            "telephone_number": "717-803-3342",
            "fax_number": "717-974-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 N US ROUTE 15",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170191617",
            "telephone_number": "717-973-5813",
            "fax_number": "717-715-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBE",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013693L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.