Individual provider Active NPI

Malia K Grimes, LPT

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1285811414
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
NC6663
Practice address
7 Oak Branch Dr
Suite E
Greensboro, NC 27407
Phone
(336) 294-0910
Fax
(336) 218-0294
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NC6663 Primary

Addresses

Primary practice location

7 Oak Branch Dr
Suite E
Greensboro, NC 27407

Mailing address

7 Oak Branch Dr
Suite E
Greensboro, NC 27407
Phone (336) 294-0910

Other identifiers 1

IdentifierTypeStateIssuer
1105LOtherNCBCBS OF NC

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

State licenses

LicenseStateTypeSpecialty
6663NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Motion Physical Therapy Inc PastSince Feb 4, 1999 Accepting new patients
Integrative Therapies, Inc. Physical Therapist Past Accepting new patients
Total Motion PT Physical Therapist PastSince Jan 1, 2017 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1285811414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OAK BRANCH DR",
            "address_2": "SUITE E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27407",
            "telephone_number": "336-294-0910",
            "fax_number": "336-218-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OAK BRANCH DR",
            "address_2": "SUITE E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27407",
            "telephone_number": "336-294-0910",
            "fax_number": "336-218-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "MALIA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "NC6663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1105L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.