Active NPI
Stephen Edward Grupp, P.T.
- Physical Therapist
- Johnston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT01629
- Practice address
- 1524 Atwood Ave
Suite 104
Johnston, RI 02919-3228 - Phone
- (401) 351-6200
- NPI assigned
- Oct 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 | PT01629 | RI | Primary |
Addresses
Primary practice location
1524 Atwood Ave
Suite 104
Johnston, RI 02919-3228
Mailing address
1524 Atwood Ave
Johnston, RI 02919-3228
Phone (401) 351-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110212000095 | RI | Practitioner - Physical Therapist in Private Practice | 9133309800 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Buffalo School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Orthopedics Inc
Practice addresses (Care Compare)
2 Dudley St
Suite 200
Providence, RI 02905-3248
Phone (401) 457-1500
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.76
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT01629 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Orthopedics, Inc. | Current | Accepting new patients | |
| University Orthopedics, Inc. | Current | Accepting new patients | |
| Center for Orthopedics Inc. | Current | Accepting new patients |
Locations
1524 Atwood Ave
Ste 140
Johnston, RI 02919
Phone (401) 351-6200
2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504
1524 Atwood Ave
Providence, RI 02919
Phone (401) 272-2110
Interoperability endpoints
- stephen.grupp.1@13709.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Orthopaedic Surgery Physician
- Cranston, RI
- NPI 1285320093
-
- Orthopaedic Surgery Physician
- Westerly, RI
- NPI 1275188955
-
- Orthopaedic Surgery Physician
- North Providence, RI
- NPI 1427521830
-
- Orthopaedic Surgery Physician
- Middletown, RI
- NPI 1659645836
-
- Orthopaedic Surgery Physician
- East Providence, RI
- NPI 1811413404
-
- Orthopaedic Surgery Physician
- Cumberland, RI
- NPI 1811683626
-
- Orthopaedic Surgery Physician
- Mansfield, MA
- NPI 1013557727
-
- Orthopaedic Surgery Physician
- Johnston, RI
- NPI 1861618290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1265732192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 ATWOOD AVE",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193228",
"telephone_number": "401-351-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 ATWOOD AVE",
"address_2": "SUITE 104",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193228",
"telephone_number": "401-351-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUPP",
"first_name": "STEPHEN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT01629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
- 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.