Individual provider Active NPI

Raymond Todd Gronlund, DPT

  • Physical Therapist
  • Elizabeth, PA
National Provider Identifier
1336297597
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004037E Issued in PA
Practice address
116 Cresswood Dr
Elizabeth, PA 15037-2423
Phone
(412) 751-2451
NPI assigned
Jan 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT004037E PA Primary

Addresses

Primary practice location

116 Cresswood Dr
Elizabeth, PA 15037-2423

Mailing address

116 Cresswood Dr
Elizabeth, PA 15037-2423
Phone (412) 751-2451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070421000012 PA Practitioner - Physical Therapist in Private Practice 4688779564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gronlund Physical Therapy and Associates, LLCGroup PAC ID 6709985708, 2 clinicians

Practice addresses (Care Compare)

545 E Bruceton Rd
Pittsburgh, PA 15236-4593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gronlund Physical Therapy & Associates, LLC Physical Therapist CurrentSince May 14, 2007 Accepting new patients

Locations

545 E Bruceton Rd
Pleasant Hls, PA 15236
Phone (412) 532-0144

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336297597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CRESSWOOD DR",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372423",
            "telephone_number": "412-751-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CRESSWOOD DR",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372423",
            "telephone_number": "412-751-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONLUND",
        "first_name": "RAYMOND",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT004037E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.