Kimberly A Gregorowicz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006259L Issued in PA

Practice address

354 Main St
Forest City, PA 18421-1418

Phone

(570) 785-2018

Fax

(570) 785-2061

NPI assigned

Jul 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Comprehensive Physical Therapy, Inc

  • Physical Therapist
  • Forest City, PA
  • NPI 1679546113
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215959614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MARY JO DR",
            "city": "JESSUP",
            "state": "PA",
            "postal_code": "184341963",
            "telephone_number": "570-383-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MAIN ST",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211418",
            "telephone_number": "570-785-2018",
            "fax_number": "570-785-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGOROWICZ",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006259L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genco Dental Care, PC
• Ashley Genello, DPT
• Cynthia Marie Gentile
• Alissa Lynn Glezen, OTR/L
• Christopher Michael Granville, MD
• Stephanie Grzymski, PT
• Rosalind Ignacio Hartland, DMD
• Shannon Barbara Henderson, LPC
• Krista Hollis, CRNP
• Amanda Marie Imperiale, MPT, DPT

• Physical Therapist in Forest City, PA
• Providers in Forest City, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.