Individual provider Active NPI

Donna Grove, PT

  • Physical Therapist
  • Yuma, AZ
National Provider Identifier
1578652178
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1160 Issued in AZ
Practice address
1951 W 25TH St
Ste. C
Yuma, AZ 85364-6925
Phone
(928) 726-7900
Fax
(928) 726-7901
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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 1160 AZ Primary

Addresses

Primary practice location

1951 W 25TH St
Ste. C
Yuma, AZ 85364-6925

Mailing address

4467 W Vaquero LN
Yuma, AZ 85365-8060
Phone (928) 276-5422

Other identifiers 1

IdentifierTypeStateIssuer
AZ0293620OtherAZBLUE CROSS OF AZ

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

LicenseStateTypeSpecialty
1160AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Rehabilitation Physical and Occupational Therapy, PLLC PastSince Dec 13, 2022 Accepting new patients
Quality Rehab Network Inc. Past Accepting new patients
Assisted Living Concepts Inc Past Accepting new patients
Quality Rehabilitation Network Inc Physical Therapist PastSince Jan 9, 2017 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1578652178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 W VAQUERO LN",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853658060",
            "telephone_number": "928-276-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W 25TH ST",
            "address_2": "STE. C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646925",
            "telephone_number": "928-726-7900",
            "fax_number": "928-726-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "DONNA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AZ",
            "identifier": "AZ0293620",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.