Individual provider Active NPI

Lisa Grabbe, DPT

  • Physical Therapist
  • Glens Falls, NY
National Provider Identifier
1134520323
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037804-1 Issued in NY
Practice address
25 Franklin St
Glens Falls, NY 12801-4670
Phone
(518) 223-0047
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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 037804-1 NY Primary

Addresses

Primary practice location

25 Franklin St
Glens Falls, NY 12801-4670

Mailing address

25 Franklin St
Glens Falls, NY 12801-4670
Phone (518) 223-0047

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141216000264 NY Practitioner - Physical Therapist in Private Practice 7618290024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Koumanis Medical PLLCGroup PAC ID 5799226197, 5 clinicians

Practice addresses (Care Compare)

5 Main St
Suite 6
Queensbury, NY 12804-4067
Phone (518) 798-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Action Physical Therapy, PC Physical Therapist CurrentSince Jan 10, 2024 Accepting new patients
Koumanis Medical, PLLC Physical Therapist CurrentSince Oct 3, 2024 Accepting new patients

Locations

5 Main St
Ste 6
Queensbury, NY 12804
Phone (518) 466-3374

5 Main St
Ste 46
Queensbury, NY 12804

Interoperability endpoints

  • Direct secure messaging: lisagrabbept@adktotalcare.medentdirect.com

Organizations & group practices 2

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": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1134520323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FRANKLIN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014670",
            "telephone_number": "518-223-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FRANKLIN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014670",
            "telephone_number": "518-223-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABBE",
        "first_name": "LISA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037804-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.