Active NPI
Anthony Brian Granger, P.T.
- Physical Therapist
- Bakersfield, CA
National Provider Identifier
1255530697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4382
- Practice address
- 7737 Meany Ave Ste B5
Bakersfield, CA 93308-5267 - Phone
- (661) 377-1700
- Fax
- (661) 616-9199
- NPI assigned
- Jul 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 4382 | AZ | |
| Physical Therapist | 225100000X | 4382 | AZ | Primary |
Addresses
Primary practice location
7737 Meany Ave Ste B5
Bakersfield, CA 93308-5267
Mailing address
3400 Calloway Dr Ste 603
Bakersfield, CA 93312-2514
Phone (661) 377-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 449042 | Medicaid | AZ |
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 |
|---|---|---|---|
| Skyline Physical Therapy Aquatics and Rehab Specialists | Physical Therapist | Past | Accepting new patients |
| Bakersfield Memorial Hospital | 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.
-
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
- Physical Therapist
- Apache Junction, AZ
- NPI 1720022346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1255530697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CALLOWAY DR STE 603",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933122514",
"telephone_number": "661-377-1700",
"fax_number": "661-616-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7737 MEANY AVE STE B5",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933085267",
"telephone_number": "661-377-1700",
"fax_number": "661-616-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANGER",
"first_name": "ANTHONY",
"middle_name": "BRIAN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-16",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AZ",
"license": "4382",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "4382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "449042",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.