Seth Blaine Grover, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

8941 Issued in SC

Practice address

4039 Gateway Blvd Ste 102
Grovetown, GA 30813-3195

Phone

(706) 210-9534

Fax

(706) 210-9536

NPI assigned

Jan 18, 2018

Sex

Male

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, SC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, shared by 2 NPIs, 406 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: seth.grover.p12@direct.athleticoltd.nextgenshare.com

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.

• Georgialina Physical Therapy Associates LLC

  • Physical Therapist
  • Augusta, GA
  • NPI 1679286934
  Medicare reassignment NPD
• Georgialina Physical Therapy Associates LLC

  • Physical Therapy Clinic/Center
  • North Augusta, SC
  • NPI 1427164714
  Medicare reassignment NPD
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1457389595
  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295243756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5545",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309165545",
            "telephone_number": "706-750-0654",
            "fax_number": "706-842-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 GATEWAY BLVD STE 102",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133195",
            "telephone_number": "706-210-9534",
            "fax_number": "706-210-9536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 Market Place Dr",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298609274",
            "country_code": "US",
            "telephone_number": "803-349-3450",
            "fax_number": "803-832-1791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 W Martintown Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298416104",
            "country_code": "US",
            "telephone_number": "803-441-0025",
            "fax_number": "803-441-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVER",
        "first_name": "SETH",
        "middle_name": "BLAINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "8941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candyce Graham
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• Shontanae Imani Green, MS, LPC, NCC
• Krysta Noelle Greenleaf, PHARM.D
• Dorothy Ann Gresham, PHD, NP, CNOR
• Grovetown Chiropractic Incorporated
• Grovetown Dialysis Clinic LLC
• Andrea Hairston
• Steven Hall
• Hallwaysmentalhealthllc

• Physical Medicine & Rehabilitation Physician in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.