Tracey M Grant, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030409-1 Issued in NY

Practice address

333 Earle Ovington Blvd
Suite 225
Uniondale, NY 11553-3610

Phone

(516) 321-2400

Fax

(516) 321-2401

NPI assigned

Jul 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Valley Physical Therapy PAGroup PAC ID 5597769828, 4 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Northern Valley Physical Therapy PA

  • Physical Therapy Clinic/Center
  • River Vale, NJ
  • NPI 1629096292
  Medicare reassignment Care Compare group NPD
• Spectrum Physical Therapy & Athletic Training, LLC

  • Physical Therapist
  • Edgewater, NJ
  • NPI 1942385513
  Medicare reassignment NPD
• Spectrum Physical Therapy and Athletic Training LLC

  • Sports Physical Therapist
  • Edgewater, NJ
  • NPI 1417140906
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1215192802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 KEW GARDENS RD",
            "address_2": "4TH FLOOR",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153600",
            "telephone_number": "718-263-7500",
            "fax_number": "718-263-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EARLE OVINGTON BLVD",
            "address_2": "SUITE 225",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533610",
            "telephone_number": "516-321-2400",
            "fax_number": "516-321-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TRACEY",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030409-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Itzhak Goldberg, M.D.
• Norma Elaine Golding, LPN
• Ronnesheia Gonzalez
• Beatrice Goodman, BSN RN
• Janis Gordon, LCSW
• Rochelle P Greenberg, MA
• Pamela Gayle Greene, M.S.E.D
• Victor Gregoire, PTA
• Marybeth Griffin
• Rene Roanna Griffith

• Physical Therapist in Uniondale, NY
• Providers in Uniondale, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.