Individual provider Active NPI

Christopher J Grande, PHYSICAL THERAPIST

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1386678258
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-23760 Issued in FL
Practice address
1896 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-3513
Phone
(561) 432-0111
Fax
(561) 432-1075
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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 PT-23760 FL Primary

Addresses

Primary practice location

1896 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-3513

Mailing address

110 Waterview Dr
Palm Beach Gardens, FL 33418-7103
Phone (856) 649-4701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000140 FL Practitioner - Physical Therapist in Private Practice 5597752311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-23760FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Rehab Group LLC Physical Therapist CurrentSince May 15, 2025 Accepting new patients
Bay-Sea Physical Therapy of Bridgeton PA Physical Therapist Past Accepting new patients
Bay-Sea Physical Therapy of Vineland PA Physical Therapist Past Accepting new patients

Locations

7950 Dani Dr
#1402
Fort Myers, FL 33966
Phone (561) 900-2423

Organizations & group practices 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1386678258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WATERVIEW DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334187103",
            "telephone_number": "856-649-4701",
            "fax_number": "561-432-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896 PALM BEACH LAKES BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093513",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT-23760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.