Active NPI
Lacey Leigh Groark, DPT
- Physical Therapist
- Scarsdale, NY
National Provider Identifier
1356696777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0351181
- Practice address
- 7 Popham Rd
Suite 302
Scarsdale, NY 10583-3709 - Phone
- (914) 722-9200
- NPI assigned
- Jul 23, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 0351181 | NY | Primary |
Addresses
Primary practice location
7 Popham Rd
Suite 302
Scarsdale, NY 10583-3709
Mailing address
838 Scarsdale Ave
Scarsdale, NY 10583-5318
Phone (914) 722-9200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0351181 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1356696777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 SCARSDALE AVE",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105835318",
"telephone_number": "914-722-9200",
"fax_number": "914-922-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 POPHAM RD",
"address_2": "SUITE 302",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105833709",
"telephone_number": "914-722-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROARK",
"first_name": "LACEY",
"middle_name": "LEIGH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0351181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.