Individual provider Active NPI

Madonna Lynn Grabos, PT

  • Physical Therapist
  • Hobart, IN
National Provider Identifier
1366558447
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05001448A Issued in IN
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

Updated by the provider on Jul 14, 2026

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 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

IdentifierTypeStateIssuer
05001448AOtherILBCBS OF IL
200467670MedicaidIN
000000306881OtherINANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628001249 IN Practitioner - Physical Therapist in Private Practice 6406832609 Reassigns benefits to 1 organization

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
Orthopedic Therapy Specialists, PCGroup PAC ID 8224020748, 13 clinicians

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

OrganizationSpecialtyStatusNew patients
Orthopedic Therapy Specialists, PC CurrentSince Jul 29, 2019 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.

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.

Verify at the official NPI Registry.