Ola Grimsby Jr., PT, MOMT, FAAOMPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009563 Issued in WA

Practice address

1540 140TH Ave NE Ste 200
Bellevue, WA 98005-4516

Phone

(425) 644-6048

Fax

(425) 641-2721

NPI assigned

Jan 29, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225174345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 140TH AVE NE STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054516",
            "telephone_number": "425-644-6048",
            "fax_number": "425-641-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 140TH AVE NE STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054516",
            "telephone_number": "425-644-6048",
            "fax_number": "425-641-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSBY",
        "first_name": "OLA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT, MOMT, FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Reynolds Griffing, ARNP, PHD
• Linden Griffith
• Rhiannon Griffith
• Sue Griffith
• Liliya Grigoryants
• Marie E. Grohman, M.D.
• Jason Dwane Grose, LMP
• Eleanor Elizabeth Gross
• David C Grossman, M.D.
• Leighe Grotenhuis, MD

• Physical Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Physical Therapist in Washington

• 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.