Amy C Grossman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008544L Issued in PA

Practice address

1095 Texas Palmyra Hwy
Ste 1
Honesdale, PA 18431-7687

Phone

(570) 616-0665

Fax

(570) 616-0669

NPI assigned

May 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amy C Stark Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Murray Physical Therapy IncGroup PAC ID 4486935970, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.28 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.59

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Murray Physical Therapy, Inc.

  • Physical Therapist
  • Honesdale, PA
  • NPI 1861943466
  Medicare reassignment Care Compare group NPD
• Pivot Physical Therapy of Pennsylvania, LLC

  • Physical Therapist
  • South Abington Township, PA
  • NPI 1881132488
  NPD (past)

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1144581737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 TEXAS PALMYRA HWY",
            "address_2": "STE 1",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184317687",
            "telephone_number": "570-616-0665",
            "fax_number": "570-616-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 TEXAS PALMYRA HWY",
            "address_2": "STE 1",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184317687",
            "telephone_number": "570-616-0665",
            "fax_number": "570-616-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "AMY",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008544L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033697690001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "STARK",
            "middle_name": "C",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul Granet, MD
• Susan Granquist, D.M.D
• Dana M Graziul, M.S. CCC-SLP
• Kelly Lorraine Gregory, PHARM.D.
• Barbara Jane Griggs-Pratt, MA, RDN, LDN
• Jean Marie Gruber Barziloski, MS, LPC, RD, LDN
• Vignesh Gunasekaran, DO
• Tuhin Gupta, MD
• George J Gustainis, MD
• Philip C Gutherz, M.D.

• Physical Therapist in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.