Michael Todd Groh, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017713 Issued in PA

Practice address

101 N Monroe St
2ND Floor
Media, PA 19063-3037

Phone

(484) 444-0135

Fax

(484) 444-0138

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Motive Sports and Physical Therapy Malvern LLCGroup PAC ID 7113459587, 15 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.

• Motive Sports and Physical Therapy Malvern, LLC

  • Physical Therapist
  • Frazer, PA
  • NPI 1871354159
  Medicare reassignment Care Compare group NPD
• Motive Sports and Physical Therapy, PLLC

  • Physical Therapist
  • Chadds Ford, PA
  • NPI 1578029575
  Medicare reassignment NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  Medicare reassignment NPD
• Leading Edge Physical Therapy & Sports Medicine, Inc.

  • Physical Therapist
  • Media, PA
  • NPI 1568495695
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215960281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 W PENN PINES BLVD",
            "city": "ALDAN",
            "state": "PA",
            "postal_code": "190184308",
            "telephone_number": "215-740-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MONROE ST",
            "address_2": "2ND FLOOR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633037",
            "telephone_number": "484-444-0135",
            "fax_number": "484-444-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROH",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "GR1586194",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Correll Grentzenberg, LPC
• Donna Griffin, MS ED.
• Benjamin Williams Griffith II, R.AC.
• Cathy Griglione
• Jane Grivas, M.ED. DIP.ED.LBS
• Monte S Grossman, MD
• Grow Now Therapy Services LLC.
• Allison Grubb, RBT
• Rod Thomas Gualtieri, O.D.
• Bethlehem Guerra

• Physical Therapist in Media, PA
• Providers in Media, 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.
• 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.