Thomas J Grable, ATC, PTA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00060600 Issued in NJ

Practice address

511 Millbrook Ave
Randolph, NJ 07869-3701

Phone

(973) 361-2400

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1538277371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ELM ST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163013",
            "telephone_number": "908-272-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MILLBROOK AVE",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078693701",
            "telephone_number": "973-361-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABLE",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "ATC, PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00060600",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00115800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Rachel Goldstein, M.D.
• Glen M Goldstein
• Zachary Goldstein, DMD
• Kaitlin Dickert Gonzales, D.P.M
• Ricki L Gottlieb, M.D.
• Sara Grapski, NCSP
• Deanna Graziani, DPT
• Great Atlantic & Pacific Tea Company Inc
• Green Vision Inc.
• Kelly Gresko, LCSW

• Athletic Trainer in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.