Active NPI
Grant Alexander Hollander
- Physical Therapist
- Menifee, CA
National Provider Identifier
1174292759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 310388
- Practice address
- 30428 Haun Rd Ste 810
Menifee, CA 92584-6824 - Phone
- (951) 696-9353
- NPI assigned
- Sep 8, 2021
- Last updated
- Jul 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 310388 | CA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 37756 | FL |
Addresses
Primary practice location
30428 Haun Rd Ste 810
Menifee, CA 92584-6824
Mailing address
30428 Haun Rd Ste 810
Menifee, CA 92584-6824
Phone (951) 696-9353
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37756 | FL | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1174292759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30428 HAUN RD STE 810",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925846824",
"telephone_number": "951-696-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30428 HAUN RD STE 810",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925846824",
"telephone_number": "951-696-9353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLANDER",
"first_name": "GRANT",
"middle_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "310388",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "37756",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.