Al Groholski, M.O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT8550 Issued in FL

Practice address

50 Fairway Dr
Debary, FL 32713-2323

Phone

(561) 818-0691

Fax

(561) 790-1918

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1386676708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FAIRWAY DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132323",
            "telephone_number": "561-818-0691",
            "fax_number": "561-790-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FAIRWAY DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132323",
            "telephone_number": "561-818-0691",
            "fax_number": "561-790-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROHOLSKI",
        "first_name": "AL",
        "name_prefix": "Mr.",
        "credential": "M.O.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 8550",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT8550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace and Harmony Inc
• Jamie Grainger, D.C.
• Ashley Greindl
• Jessica Grimm
• Anthony Paul Griscti, LPTA
• Growing Hope Therapy, LLC
• Guardian Midwifery
• Alan Gutierrez, DC
• Brian David Hagan
• Christiana Hale

• Occupational Therapist in Debary, FL
• Providers in Debary, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.