Organization Active NPI

Grove City Physical Medicine, L.L.C.

  • Physical Medicine & Rehabilitation Physician
  • Grove City, OH
National Provider Identifier
1457319733
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35-079466G Issued in OH
Legal business name
GROVE CITY PHYSICAL MEDICINE, L.L.C.
Practice address
4070 Gantz Rd
Grove City, OH 43123-4816
Phone
(614) 820-2339
Fax
(614) 820-0339
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Dr. Arvin Gallanosa, M.D.
Title
President
Phone
(614) 820-2339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 35-079466G OH Primary

Addresses

Primary practice location

4070 Gantz Rd
Grove City, OH 43123-4816

Mailing address

4070 Gantz Rd
Grove City, OH 43123-4816
Phone (614) 820-2339

Other identifiers 1

IdentifierTypeStateIssuer
2694384MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1457319733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 GANTZ RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431234816",
            "telephone_number": "614-820-2339",
            "fax_number": "614-820-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 GANTZ RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431234816",
            "telephone_number": "614-820-2339",
            "fax_number": "614-820-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE CITY PHYSICAL MEDICINE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "GALLANOSA",
        "authorized_official_first_name": "ARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-820-2339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35-079466G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2694384",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.