Individual provider Active NPI

Daryian Michelle Grossman, DPT

  • Physical Therapist
  • Trenton, MO
National Provider Identifier
1508597634
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2509 Issued in ND
Practice address
400 E 9TH St
Trenton, MO 64683-2207
Phone
(660) 654-2892
NPI assigned
Jun 20, 2022
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2509 ND Primary

Addresses

Primary practice location

400 E 9TH St
Trenton, MO 64683-2207

Mailing address

400 E 9TH St
Trenton, MO 64683-2207
Phone (660) 654-2892

Other names 1

  • Daryian Michelle Otto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240805003193 MO Practitioner - Physical Therapist in Private Practice 5496292724 Reassigns benefits to 2 organizations
I20241217003888 TX Practitioner - Physical Therapist in Private Practice 5496292724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 E 9TH St
Trenton, MO 64683-2207
Phone (660) 654-2892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2509NDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Physical Therapy, PC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Mid-Mo Mobility Physical Therapy CurrentSince Apr 22, 2026 Accepting new patients
Empower Physical Therapy TX LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients

Locations

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

3333 W 10th St
Sedalia, MO 65301
Phone (573) 256-2777

400 E 9th St
Trenton, MO 64683
Phone (660) 359-2098

5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062

8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777

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.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1508597634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 9TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832207",
            "telephone_number": "660-654-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 9TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832207",
            "telephone_number": "660-654-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "DARYIAN",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARYIAN",
            "last_name": "OTTO",
            "middle_name": "MICHELLE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Trenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.

Verify at the official NPI Registry.