Individual provider Active NPI

Arlene C Grosse, P.T.

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1154330777
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00221400 Issued in NJ
Practice address
1011 Clifton Ave
Suite 5 2ND Floor
Clifton, NJ 07013-3518
Phone
(973) 778-1134
Fax
(973) 614-1530
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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 40QA00221400 NJ Primary

Addresses

Primary practice location

1011 Clifton Ave
Suite 5 2ND Floor
Clifton, NJ 07013-3518

Mailing address

295 Elbert St
Ramsey, NJ 07446-1007
Phone (973) 778-1134

Other identifiers 1

IdentifierTypeStateIssuer
0081779OtherNJGHI PROVIDER NUMBER

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

LicenseStateTypeSpecialty
40QA00221400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy of Clifton, P.a. Physical Therapist PastSince Jul 1, 1985 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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1154330777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 ELBERT ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461007",
            "telephone_number": "973-778-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CLIFTON AVE",
            "address_2": "SUITE 5 2ND FLOOR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133518",
            "telephone_number": "973-778-1134",
            "fax_number": "973-614-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSE",
        "first_name": "ARLENE",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00221400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NUMBER",
            "identifier": "0081779",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.