Organization Active NPI

In Home Physical Therapy

  • Physical Therapy Clinic/Center
  • Parkland, FL
National Provider Identifier
1497941272
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT12159 Issued in FL
Legal business name
IN HOME PHYSICAL THERAPY
Practice address
11272 NW 71St CT
Parkland, FL 33076-3866
Phone
(954) 415-3892
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Diane Cheryl Grusky, PTNPI 1477607869
Title
President
Phone
(954) 415-3892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT12159 FL Primary

Addresses

Primary practice location

11272 NW 71St CT
Parkland, FL 33076-3866

Mailing address

11272 NW 71St CT
Parkland, FL 33076-3866
Phone (954) 415-3892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050207000668 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012968043 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Worth, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1497941272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11272 NW 71ST CT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763866",
            "telephone_number": "954-415-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11272 NW 71ST CT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763866",
            "telephone_number": "954-415-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "GRUSKY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-415-3892",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT12159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.