Active NPI
Nicholas Joseph Grant, PT, DPT
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-32506
- Practice address
- 5777 E Mayo Blvd
Phoenix, AZ 85054 - Phone
- (480) 301-8000
- NPI assigned
- Aug 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-32506 | AZ | Primary |
Addresses
Primary practice location
5777 E Mayo Blvd
Phoenix, AZ 85054
Mailing address
5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 301-8000
Other practice location 1
1325 N Litchfield Rd Ste 140
Goodyear, AZ 85395-1215
Phone (623) 440-5487
Other practice location 2
5830 N 19th Ave
Phoenix, AZ 85015-2494
Phone (602) 841-0583
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ngrant1870543@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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
- Group practices
Practice addresses (Care Compare)
13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone (480) 301-8000
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.47 of 100
- Quality
- 78.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-32506 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Mayo Clinic Arizona | Physical Therapist | Current | Accepting new patients |
| Strength Training Inc | Physical Therapist | Current | Accepting new patients |
| Strength Training Inc | Past | Accepting new patients |
Locations
1325 N Litchfield Rd
Ste 140
Goodyear, AZ 85395
Phone (623) 440-5487
5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800
5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115
17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053
Phone (602) 547-1836
444 W Osborn Rd
Ste 303
Phoenix, AZ 85013
Phone (602) 279-8022
13400 E Shea Blvd
Scottsdale, AZ 85259
11361 S Foothills Blvd
Ste 3
Yuma, AZ 85367
Phone (928) 342-7234
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Interoperability endpoints
- ngrant1870543@ehrdirect.mayoclinicmsg.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558332494
-
- Physical Therapist
- Phoenix, AZ
- NPI 1518925569
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1699520049
Physical Therapist
-
- Customized Equipment (DME)
- Phoenix, AZ
- NPI 1356552996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1578281424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5777 E MAYO BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85054",
"telephone_number": "480-301-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5777 E MAYO BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85054",
"telephone_number": "480-301-8000"
}
],
"practiceLocations": [
{
"address_1": "1325 N Litchfield Rd Ste 140",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853951215",
"country_code": "US",
"telephone_number": "623-440-5487",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5830 N 19th Ave",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850152494",
"country_code": "US",
"telephone_number": "602-841-0583",
"fax_number": "602-841-0302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "NICHOLAS",
"middle_name": "JOSEPH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-17",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-32506",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ngrant1870543@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "5777 E Mayo Blvd",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "85054",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.