Renae Michelle Gruver

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6898 Issued in AZ

Practice address

9385 W Donald Dr
Peoria, AZ 85383-2988

Phone

(602) 875-5616

NPI assigned

May 11, 2007

Last updated

Dec 15, 2020By 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 identifiers 1

Other names 1

• Renae Popken Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foothills Sports Medicine & Rehabilitation - Seville, LLC

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1053426767
  Medicare reassignment NPD
• Heartland Therapy, Inc.

  • Home Health Agency
  • Mesa, AZ
  • NPI 1962552547
  Medicare reassignment NPD
• Theracare PLLC

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1962784249

  Physical Therapist

  Medicare reassignment NPD
• CBS-Oms PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1124392790
  NPD (past)
• Foothills Sports Medicine & Rehabilitation - Sun City, LLC

  • Physical Therapist
  • Surprise, AZ
  • NPI 1558784660
  NPD (past)
• Neuro Institute, Inc

  • Rehabilitation Practitioner
  • Tempe, AZ
  • NPI 1194813279
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1174738256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2898 E CITADEL CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852985728",
            "telephone_number": "480-710-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9385 W DONALD DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832988",
            "telephone_number": "602-875-5616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 W Warner Rd",
            "address_2": "suite 102",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852841906",
            "country_code": "US",
            "telephone_number": "480-735-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUVER",
        "first_name": "RENAE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052151",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENAE",
            "last_name": "POPKEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tina Grinsteiner, APRN-RNP
• Daniel J Grob, DDS MS
• Steven Ronald Groman, MD
• Debbie Grosshauser
• Grounded in Growth Therapy LLC
• Janelle Guardado Torres
• Aaron Gubler
• Raul Estuardo Guerra, OTR/L
• Gabriella Guevara
• Pamela G Guevarra, PT

• Physical Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.