Active NPI
Raymond Gronross
- Physical Therapist
- Round Rock, TX
National Provider Identifier
1598872467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2000 S I H 35 Ste H2
Round Rock, TX 78681-6934 - Phone
- (512) 238-6200
- NPI assigned
- Aug 24, 2006
- 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 | Primary |
Addresses
Primary practice location
2000 S I H 35 Ste H2
Round Rock, TX 78681-6934
Mailing address
1809 Southeastern TRL
Round Rock, TX 78664-7057
Phone (512) 341-2533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1055215 | Other | TX | LICENSE # |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1598872467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 SOUTHEASTERN TRL",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786647057",
"telephone_number": "512-341-2533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S I H 35 STE H2",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786816934",
"telephone_number": "512-238-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRONROSS",
"first_name": "RAYMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "1055215",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.