Individual provider Active NPI

Bradley Lawrence Grohovsky, DPT

  • Orthopedic Physical Therapist
  • Nashville, TN
National Provider Identifier
1407133994
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
005944 Issued in KY
Practice address
197 Thompson LN Ste W
Nashville, TN 37211-2415
Phone
(615) 270-9565
Fax
(888) 508-2057
NPI assigned
Nov 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 005944 KY Primary

Addresses

Primary practice location

197 Thompson LN Ste W
Nashville, TN 37211-2415

Mailing address

130 Admiral Cochrane Drive
Suite 101
Annapolis, MD 21401
Phone (410) 266-1500

Other practice location 1

130 Admiral Cochrane Drive
Suite 101
Annapolis, MD 21401
Phone (410) 266-1500

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

LicenseStateTypeSpecialty
005944KYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ipa Physio Nashville LLC CurrentSince Jul 24, 2022 Accepting new patients
McNeill & Ro LLC Orthopedic CurrentSince Jan 19, 2025 Accepting new patients

Locations

130 Admiral Cochrane Dr
Ste 101
Annapolis, MD 21401
Phone (410) 266-1500

197 Thompson Ln
Ste W
Nashville, TN 37211
Phone (615) 270-9565

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": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407133994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ADMIRAL COCHRANE DRIVE",
            "address_2": "SUITE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-266-1500",
            "fax_number": "410-266-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 THOMPSON LN STE W",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112415",
            "telephone_number": "615-270-9565",
            "fax_number": "888-508-2057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Admiral Cochrane Drive",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "21401",
            "country_code": "US",
            "telephone_number": "410-266-1500",
            "fax_number": "410-266-1369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROHOVSKY",
        "first_name": "BRADLEY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KY",
            "license": "005944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.