Grand Therapy Services, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

GRAND THERAPY SERVICES, LLC

Practice address

101 Surrey Rd
Elkins Park, PA 19027-2931

Phone

(267) 974-6256

NPI assigned

Jan 2, 2018

Organization subpart

No

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

Authorized official

Name

Paya Symone Williams, DPT

Title

Co-Owner, President

Phone

(267) 974-6256

Specialties & licenses 6

Addresses

Other names 2

• Grand Therapy Rehabilitation Services, LLC Doing business as
• Grand Therapy Services, LLC Doing business as

Locations

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1144737040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SURREY RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272931",
            "telephone_number": "267-974-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SURREY RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272931",
            "telephone_number": "267-974-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PAYA",
        "authorized_official_middle_name": "SYMONE",
        "authorized_official_title_or_position": "CO-OWNER, PRESIDENT",
        "authorized_official_telephone_number": "267-974-6256",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Therapy Rehabilitation Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Therapy Rehabilitation Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Therapy Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bethanie M Greco, CRNP

• Contractor in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Contractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.