NPIMap

Organization Active NPI

Groschan Physical Therapy Specialists LLC

  • Physical Therapist
  • Timonium, MD
National Provider Identifier
1417631680
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GROSCHAN PHYSICAL THERAPY SPECIALISTS LLC
Practice address
2328 W Joppa Rd Ste 300
Timonium, MD 21093-4685
Phone
(410) 938-8660
Fax
(410) 938-8664
NPI assigned
Jun 9, 2023
Last updated
Jun 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Daphne Scott, PT, DSC, MAPP, FAAOM
Title
President,Outpatient Rehabilitation
Phone
(405) 900-4729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2328 W Joppa Rd Ste 300
Timonium, MD 21093-4685

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230801000019 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587025077 Receives reassigned benefits from 8 practitioners
Practice locations: Lutherville, MD

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1417631680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 W JOPPA RD STE 300",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934685",
            "telephone_number": "410-938-8660",
            "fax_number": "410-938-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSCHAN PHYSICAL THERAPY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_title_or_position": "PRESIDENT,OUTPATIENT REHABILITATION",
        "authorized_official_telephone_number": "405-900-4729",
        "authorized_official_credential": "PT, DSC, MAPP, FAAOM"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.