Erin Granahan

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00340400 Issued in NJ

Practice address

500 Ave at Port Imperial Blvd Ste 110
Weehawken, NJ 07086-6960

Phone

(201) 272-9400

Fax

(201) 272-9402

NPI assigned

Aug 29, 2017

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Port Imperial Therapy Group LLC

  • Physical Therapist
  • Weehawken, NJ
  • NPI 1679019996
  NPD

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477070563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AVE AT PORT IMPERIAL BLVD STE 110",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866960",
            "telephone_number": "201-272-9400",
            "fax_number": "201-272-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVE AT PORT IMPERIAL BLVD STE 110",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866960",
            "telephone_number": "201-272-9400",
            "fax_number": "201-272-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANAHAN",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00340400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Gallo
• Gabriella George
• Simone Gitshteyn, PHARM.D
• Wesley Michael Gober
• Larissa Beltrao Gomes, OT
• David Louis Greco, D.M.D.
• H & a LLC
• Alycea Harrison, MS, RD, CDN, CNSC,
• Harry Snady MD PHD PC
• Health Orbit Medical Solutions LLC

• Physical Therapy Assistant in Weehawken, NJ
• Providers in Weehawken, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.