Active NPI
John Charles Grossman Jr., DPT
- Physical Therapist
- Washington, DC
National Provider Identifier
1518523646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT872600
- Practice address
- 900 23Rd St NW
Washington, DC 20037-2342 - Phone
- (202) 996-1301
- NPI assigned
- May 14, 2019
- Last updated
- Jan 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT020851 | OH | |
| Physical Therapist | 225100000X | 296684 | CA | |
| Physical Therapist | 225100000X | PT031961 | PA | |
| Physical Therapist | 225100000X | 070028036 | IL | |
| Physical Therapist | 225100000X | 25583 | MD | |
| Physical Therapist | 225100000X | 1383976 | TX | |
| Physical Therapist | 225100000X | 051277 | NY | |
| Physical Therapist | 225100000X | PT872600 | DC | Primary |
Addresses
Primary practice location
900 23Rd St NW
Washington, DC 20037-2342
Mailing address
13937 S Sprague LN Ste 100
Draper, UT 84020-7864
Phone (385) 308-8034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25583 | MD | MD | Clinical Social Worker |
| 296684 | CA | MD | Physical Therapist |
| PT872600 | DC | MD | Physical Therapist |
| 070028036 | IL | MD | Physical Therapist |
| 051277 | NY | MD | Physical Therapist |
| PT020851 | OH | MD | Physical Therapist |
| PT031961 | PA | MD | Physical Therapist |
| 1383976 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1518523646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13937 S SPRAGUE LN STE 100",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207864",
"telephone_number": "385-308-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 23RD ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372342",
"telephone_number": "202-996-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "JOHN",
"middle_name": "CHARLES",
"name_suffix": "Jr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-14",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT020851",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296684",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT031961",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070028036",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25583",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1383976",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "051277",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT872600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.