Active NPI
Christopher John Grink, MSPT
- Physical Therapist
- Hazleton, PA
National Provider Identifier
1336487008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010335L
- Practice address
- 1000 Stacie Dr
Hazleton, PA 18201-5690 - Phone
- (570) 453-5191
- Fax
- (570) 453-5190
- NPI assigned
- Jan 30, 2013
- Last updated
- Jan 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010335L | PA | Primary |
Addresses
Primary practice location
1000 Stacie Dr
Hazleton, PA 18201-5690
Mailing address
1000 Stacie Dr
Hazleton, PA 18201-5690
Phone (570) 453-5191
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010335L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1336487008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 STACIE DR",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182015690",
"telephone_number": "570-453-5191",
"fax_number": "570-453-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 STACIE DR",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182015690",
"telephone_number": "570-453-5191",
"fax_number": "570-453-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINK",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-30",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT010335L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazleton, PA
- Greater Hazleton Radiology Associates (Hazleton Imaging Center - Professional Services)
- Greater Hazleton Radiology Associates, LLC (Hazleton General Hospital - Professional Services)
- Bonnie Gregory, CRNP
- Griguoli Chiropractic & Rehabilitation Center, P.C.
- Anthony Rocco Griguoli, DC
- Lisa Ann Gryskevicz, OTRL
- Deepak Gupta, DDS
- Joshua Gurin, BA
- Ashly Gutierrez Badia, PA-C
- Pedro Guzman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.