Active NPI
Abby Rebecca Granoff, DPT
- Physical Therapist
- Webster, NY
National Provider Identifier
1457664633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032819
- Practice address
- 1130 Crosspointe LN Ste 6
Webster, NY 14580-2986 - Phone
- (585) 347-4990
- Fax
- (585) 347-4993
- NPI assigned
- Jul 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 032819 | NY | Primary |
Addresses
Primary practice location
1130 Crosspointe LN Ste 6
Webster, NY 14580-2986
Mailing address
1130 Crosspointe LN Ste 6
Webster, NY 14580-2986
Phone (585) 347-4990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032819 | Other | NY | LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1457664633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 CROSSPOINTE LN STE 6",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802986",
"telephone_number": "585-347-4990",
"fax_number": "585-347-4993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 CROSSPOINTE LN STE 6",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802986",
"telephone_number": "585-347-4990",
"fax_number": "585-347-4993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANOFF",
"first_name": "ABBY",
"middle_name": "REBECCA",
"name_prefix": "Miss",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-16",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "032819",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.