Katherine A Grandelski Scroggins, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8837 Issued in TN

Practice address

100 Hunters LN
Ste 200
Tullahoma, TN 37388-8263

Phone

(931) 455-1980

NPI assigned

Jan 7, 2011

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

Other names 1

• Katherine Grandelski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1477857308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MALLORY LN",
            "address_2": "STE 201",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678233",
            "telephone_number": "615-373-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HUNTERS LN",
            "address_2": "STE 200",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888263",
            "telephone_number": "931-455-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDELSKI SCROGGINS",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "GRANDELSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie Goodman Hill, APN FNP-BC
• Andrea Goodman
• Jennifer M Goodwin, FNP C
• Nicholas Aaron Gower, LPN
• Mary-Katherine Graf, OTR/L
• Kelsey Kathleen Grant, OTD
• Bobbi J Gray
• Randi Grayson, OTR/L
• Lindsey Greene
• John Gregory

• All providers in Tullahoma, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.