Active NPI
Madonna Lynn Grabos, PT
- Physical Therapist
- Hobart, IN
National Provider Identifier
1366558447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001448A
- Practice address
- 1265 S Lake Park Ave
Suite D
Hobart, IN 46342-5961 - Phone
- (219) 945-1538
- Fax
- (219) 945-0151
- NPI assigned
- Aug 22, 2006
- 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 | 05001448A | IN | Primary |
Addresses
Primary practice location
1265 S Lake Park Ave
Suite D
Hobart, IN 46342-5961
Mailing address
1265 S Lake Park Ave Ste D
Hobart, IN 46342-5961
Phone (219) 945-1538
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05001448A | Other | IL | BCBS OF IL |
| 200467670 | Medicaid | IN | |
| 000000306881 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3125 Calumet Ave
Suite 8
Valparaiso, IN 46383-2070
Phone (219) 548-8770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Therapy Specialists, PC | Current | Accepting new patients | |
| Integrated Therapy Practice | Physical Therapist | Past | Accepting new patients |
Locations
11055 Broadway
Ste E
Crown Point, IN 46307
Phone (219) 306-4050
3125 Calumet Ave
Ste 8
Valparaiso, IN 46383
Phone (219) 464-9800
Organizations & group practices 2
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.
-
- Clinic/Center
- Valparaiso, IN
- NPI 1861418022
-
- Physical Therapist
- Hobart, IN
- NPI 1154370120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1366558447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 S LAKE PARK AVE STE D",
"city": "HOBART",
"state": "IN",
"postal_code": "463425961",
"telephone_number": "219-945-1538",
"fax_number": "219-945-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 S LAKE PARK AVE",
"address_2": "SUITE D",
"city": "HOBART",
"state": "IN",
"postal_code": "463425961",
"telephone_number": "219-945-1538",
"fax_number": "219-945-0151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABOS",
"first_name": "MADONNA",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001448A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "05001448A",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200467670",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000306881",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hobart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.