Cornelia M Gerde Grant, M.A., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00000523 Issued in WA

Practice address

8717 S Hosmer St
Ste a
Tacoma, WA 98444-1819

Phone

(253) 471-2727

Fax

(253) 471-2730

NPI assigned

Jun 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• A Step Ahead in Pierce County

  • Speech-Language Pathologist
  • Tacoma, WA
  • NPI 1306815824

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1316200959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 S HOSMER ST",
            "address_2": "STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984441819",
            "telephone_number": "253-471-2727",
            "fax_number": "253-471-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 S HOSMER ST",
            "address_2": "STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984441819",
            "telephone_number": "253-471-2727",
            "fax_number": "253-471-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CORNELIA",
        "middle_name": "M GERDE",
        "credential": "M.A., PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00000523",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WA",
            "license": "PT00000523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Park LLC
• Grand Park, LLC
• Francisca Tamayo Grande
• Colleen Ann Graney
• Grant Lundie MD PC
• David Wayne Grant Jr., D.O.
• Elizabeth Grant
• Latasha Grant
• Melissa Ann Grant, MD
• Patrick C. Grant, LD

• Physical Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.