Kelsey Grode, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026050 Issued in PA

Practice address

1521 W 54TH St
Erie, PA 16509-2620

Phone

(814) 864-0671

NPI assigned

Jul 17, 2017

Last updated

Feb 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Shaffer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1174045694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 W 54TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092620",
            "telephone_number": "814-864-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W 54TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092620",
            "telephone_number": "814-864-0671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1267 S Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165094831",
            "country_code": "US",
            "telephone_number": "814-864-4081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3570 Washington Pike",
            "address_purpose": "LOCATION",
            "city": "Bridgeville",
            "state": "PA",
            "postal_code": "150171089",
            "country_code": "US",
            "telephone_number": "412-257-4581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRODE",
        "first_name": "KELSEY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "SHAFFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn Marie Grimm
• Nicole Grimm
• Rachel Lottes Grimm
• Colleen M Grimone, PA-C
• Douglas B Grisier, DO
• Ann M Groenendaal
• Gene A Groenendaal, DO
• Kellie Gromacki, CRNP
• Christina C Gross, PT, MS
• Kylee Gross, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.