Individual provider Active NPI

Wendy Beth Grossman, PT

  • Physical Therapist
  • Harleysville, PA
National Provider Identifier
1558482422
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013390L Issued in PA
Practice address
250 Summerwind LN
Harleysville, PA 19438-1868
Phone
(215) 513-9881
NPI assigned
Apr 2, 2007
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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 PT013390L PA Primary

Addresses

Primary practice location

250 Summerwind LN
Harleysville, PA 19438-1868

Mailing address

250 Summerwind LN
Harleysville, PA 19438-1868
Phone (215) 513-9881

Other practice location 1

3975 Conshohocken Ave
Philadelphia, PA 19131-5426
Phone (215) 368-7000

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT013390LPAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1558482422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SUMMERWIND LN",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381868",
            "telephone_number": "215-513-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SUMMERWIND LN",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381868",
            "telephone_number": "215-513-9881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3975 Conshohocken Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191315426",
            "country_code": "US",
            "telephone_number": "215-368-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "WENDY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013390L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.