Kayla Grome, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2017026797 Issued in MO

Practice address

3501 Dunn Rd Ste 108
Florissant, MO 63033-6762

Phone

(314) 972-8070

NPI assigned

May 2, 2018

Last updated

May 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Saint Louis University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bold Serenity IncGroup PAC ID 6406393065, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bold Serenity Inc

  dba Fyzical Therapy & Balance Centers

  • Physical Therapist
  • Chesterfield, MO
  • NPI 1750124970
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1518456813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 DUNN RD STE 108",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 DUNN RD STE 108",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336762",
            "telephone_number": "314-972-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROME",
        "first_name": "KAYLA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2017026797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Griffin
• Ronald Griffin, RN
• Takeinya Griffin, COTA/L
• Michelle Grimes, FNP
• Nancy Grimmett
• Deirra Gross
• Maggie M Gross, MSW, LCSW
• GS Health Care Services LLC
• Guardian of Love Home Healthcare, LLC
• Guest Service Transportation LLC

• Physical Medicine & Rehabilitation Physician in Florissant, MO
• Providers in Florissant, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.