Active NPI
Jereme Ryan Gross, PT
- Physical Therapist
- Mechanicsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018907
- Practice address
- 920 Century Dr
Mechanicsburg, PA 17055-8417 - Phone
- (717) 591-1331
- Fax
- (717) 591-1332
- NPI assigned
- Aug 15, 2006
- Last updated
- Aug 26, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018907 | PA | Primary |
Addresses
Primary practice location
920 Century Dr
Mechanicsburg, PA 17055-8417
Mailing address
110 N 7TH St
Lemoyne, PA 17043-1501
Phone (717) 731-6094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Orthopedic & Spine Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Conforti Rehabilitation Services, Inc. | Physical Therapist | Current | Accepting new patients |
| FC Select LLC | Physical Therapist | Current | Accepting new patients |
Locations
4033 Linglestown Rd
Ste 2
Harrisburg, PA 17112
Phone (717) 657-8240
110 N 7th St
Lemoyne, PA 17043
Phone (717) 731-6094
6375 Mercury Dr
Ste 100
Mechanicsburg, PA 17050
Phone (717) 591-3000
920 Century Dr
Mechanicsburg, PA 17055
Phone (717) 697-5800
Organizations & group practices 3
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.
-
dba Conforti Physical Therapy and Fitness Center
- Physical Therapist
- Lemoyne, PA
- NPI 1316998966
-
- Physical Therapist
- Mechanicsburg, PA
- NPI 1164533303
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Lemoyne, PA
- NPI 1568741338
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1265545453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N 7TH ST",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431501",
"telephone_number": "717-731-6094",
"fax_number": "717-731-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 CENTURY DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170558417",
"telephone_number": "717-591-1331",
"fax_number": "717-591-1332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "JEREME",
"middle_name": "RYAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.