Individual provider Active NPI

Katherine Rose Grabrick, PTA

  • Physical Therapy Assistant
  • Sanford, NC
National Provider Identifier
1487947321
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
4282 Issued in NC
Practice address
1408 Greenway CT
Sanford, NC 27330-6953
Phone
(919) 708-7220
Fax
(919) 708-7240
NPI assigned
May 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 4282 NC Primary

Addresses

Primary practice location

1408 Greenway CT
Sanford, NC 27330-6953

Mailing address

1408 Greenway CT
Sanford, NC 27330-6953
Phone (919) 708-7220

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4282NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation Corp. PastSince Nov 30, 2007 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1487947321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 GREENWAY CT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306953",
            "telephone_number": "919-708-7220",
            "fax_number": "919-708-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 GREENWAY CT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306953",
            "telephone_number": "919-708-7220",
            "fax_number": "919-708-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABRICK",
        "first_name": "KATHERINE",
        "middle_name": "ROSE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "4282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.