Maria-Elena Grogan Bove, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006440 Issued in GA

Practice address

4411 Suwanee Dam Rd
Suite 330
Suwanee, GA 30024-8701

Phone

(770) 904-2332

NPI assigned

Mar 8, 2011

Sex

Female

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Above Physical Therapy, LLCGroup PAC ID 6406030022, 3 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.

• Above Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Suwanee, GA
  • NPI 1972750503
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1275831729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 SUWANEE DAM RD",
            "address_2": "SUITE 330",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248701",
            "telephone_number": "770-904-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 SUWANEE DAM RD",
            "address_2": "SUITE 330",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248701",
            "telephone_number": "770-904-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGAN BOVE",
        "first_name": "MARIA-ELENA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William H Greenwood, M.D.
• Elizabeth Gregory, MD
• Jordan Griffin, RBT
• Robert James Griffin
• Scott Dee Griffith, MD
• Caroline Ashley Grubbs, DPT
• GTG Autism Center LLC
• Guardian Angels Home Care LLC
• Richard A Guerreso, DC
• Anu Gulati, MD

• Physical Therapist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.