Kimberly Elizabeth Grant, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A3803 Issued in NC

Practice address

6134 Bridlewood LN
Charlotte, NC 28215-1612

Phone

(704) 535-3446

NPI assigned

Mar 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1487953352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 BRIDLEWOOD LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282151612",
            "telephone_number": "704-535-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 BRIDLEWOOD LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282151612",
            "telephone_number": "704-535-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KIMBERLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A3803",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Ellen Grant, PT
• Heather Avery Grant, LCSWA
• Jamese Nicole Grant, MSW, LCSW-A
• Javiette Grant, MS, LCMHCA, NCC
• Kelsey Lynn Grant, MA, LCMHCA, NCC
• Krystal Grant
• Lisa Ann Grant, PT, SCS, LAT, ATC
• Makayla Grant
• Maria Janae Grant
• Marissa Carey Grant, MA, LCMHCA, NCC

• Physical Therapy Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.