Active NPI
Marc Grow, MPT
- Physical Therapist
- Elko, NV
National Provider Identifier
1497939938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1463
- Practice address
- 2213 North 5TH St
Suite B
Elko, NV 89801-2458 - Phone
- (775) 777-0901
- Fax
- (775) 777-0923
- NPI assigned
- Dec 19, 2007
- Last updated
- Aug 11, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 1463 | NV | Primary |
Addresses
Primary practice location
2213 North 5TH St
Suite B
Elko, NV 89801-2458
Mailing address
PO Box 171
Suite B
Parma, ID 83660-0171
Phone (208) 722-7350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1020 W Main St
Middleton, ID 83644-5270
Phone (208) 585-3932
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middleton Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1020 W Main St
Middleton, ID 83644
Phone (208) 585-3932
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Middleton, ID
- NPI 1477190858
-
- Physical Therapist
- Parma, ID
- NPI 1235526757
-
- Physical Therapy Clinic/Center
- Elko, NV
- NPI 1649237876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1497939938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 171",
"address_2": "SUITE B",
"city": "PARMA",
"state": "ID",
"postal_code": "836600171",
"telephone_number": "208-722-7350",
"fax_number": "208-722-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 NORTH 5TH ST",
"address_2": "SUITE B",
"city": "ELKO",
"state": "NV",
"postal_code": "898012458",
"telephone_number": "775-777-0901",
"fax_number": "775-777-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROW",
"first_name": "MARC",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-19",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.