Groves Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

7378 Issued in MN

Legal business name

GROVES PHYSICAL THERAPY

Practice address

4465 White Bear Pkwy
White Bear Lake, MN 55110-7623

Phone

(651) 209-6144

NPI assigned

Nov 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John V Groves, DPT

Title

Owner/Ceo

Phone

(763) 913-9155

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1407157902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 WHITE BEAR PKWY",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107623",
            "telephone_number": "651-209-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 WHITE BEAR PKWY",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107623",
            "telephone_number": "651-209-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "763-913-9155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "7378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744403600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Grev, NP
• Emmah Kaye Griswold, PA-C
• Kadi Groppoli
• Group Health, Inc. (HealthPartners White Bear Dental Clinic)
• Group Healthplan Inc (HealthPartners White Bear Lake Clinic)
• Brian Dwight Grudem, O.D.
• Thomas E Grzeskowiak, DDS
• Hannah Lucille Gueller
• Guided Mental Health
• Kent C Gulden, D.D.S. P.A.

• Physical Therapy Clinic/Center in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.