Active NPI
Holly L Gramse, PT
- Physical Therapist
- Granite Falls, WA
National Provider Identifier
1205874864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 403 W Stanley St
Granite Falls, WA 98252-8631 - Phone
- (360) 691-4835
- Fax
- (360) 691-2545
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
403 W Stanley St
Granite Falls, WA 98252-8631
Mailing address
1519 132ND St SE
Suite a
Everett, WA 98208-7203
Phone (425) 330-0633
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0355GR | Other | WA | REGENCE |
| 911745305-98223-A020 | Other | WA | TRICARE |
| 2250GR | Other | WA | REGENCE BLUE SHIELD |
| 0210075 | Other | WA | DEPT. OF LABOR &INDUSTRY |
| 4030GR | Other | WA | REGENCE BLUE SHIELD |
| 0354GR | Other | WA | REGENCE |
| 1170GR | Other | WA | REGENCE BLUE SHIELD |
| 1519GR | Other | WA | REGENCE BLUE SHIELD |
| 0273744 | Other | WA | DEPT OF L& I |
| 1020GR | Other | WA | REGENCE BLUE SHIELD |
| 8750GR | Other | WA | REGENCE BLUE SHIELD |
| 0273755 | Other | WA | DEPT OF L&I |
| 7777276 | Other | WA | AETNA |
| 8351124 | Medicaid | WA | |
| 8941702 | Other | WA | L&I CRIME VICTIMS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Past | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Everett, WA
- NPI 1245361617
Physical Therapist
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1205874864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 132ND ST SE",
"address_2": "SUITE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982087203",
"telephone_number": "425-330-0633",
"fax_number": "425-338-9637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W STANLEY ST",
"city": "GRANITE FALLS",
"state": "WA",
"postal_code": "982528631",
"telephone_number": "360-691-4835",
"fax_number": "360-691-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAMSE",
"first_name": "HOLLY",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "0355GR",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "911745305-98223-A020",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "2250GR",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR &INDUSTRY",
"identifier": "0210075",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "4030GR",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "0354GR",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "1170GR",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "1519GR",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L& I",
"identifier": "0273744",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "1020GR",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "8750GR",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L&I",
"identifier": "0273755",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7777276",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8351124",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8941702",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Granite Falls, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.