Kelsey Grabiak, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA25312 Issued in FL

Practice address

410 10TH Ave W
Palmetto, FL 34221-5032

Phone

(941) 722-3582

Fax

(941) 729-8322

NPI assigned

Nov 13, 2014

Last updated

Nov 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1427454735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 10TH AVE W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215032",
            "telephone_number": "941-722-3582",
            "fax_number": "941-729-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 10TH AVE W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215032",
            "telephone_number": "941-722-3582",
            "fax_number": "941-729-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABIAK",
        "first_name": "KELSEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA25312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deaddra Deion Gissendanner
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• Rosa V Gonzalez, SLPA
• Shanin Lynn Goodall-Diehl, AU.D.
• Alicen Gordon, OTRL
• David Grace, MD
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• Rachel Greenamoyer
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• Kathleen Ann Grinde, ARNP

• Physical Therapy Assistant in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.