Individual provider Active NPI

Victoria A Gromek, OT

  • Occupational Therapist
  • Beaver, PA
National Provider Identifier
1619036837
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC015335 Issued in PA
Practice address
500 Market St Ste 103
Beaver, PA 15009-2998
Phone
(724) 728-7550
Fax
(724) 647-1570
NPI assigned
Dec 6, 2006
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP006359 PA
Occupational Therapist 225X00000X OC015335 PA Primary

Addresses

Primary practice location

500 Market St Ste 103
Beaver, PA 15009-2998

Mailing address

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

Other identifiers 1

IdentifierTypeStateIssuer
OC012185OtherPALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508002811 PA Practitioner - Occupational Therapist in Private Practice 7012434400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabcare Group East, LLCGroup PAC ID 0042128894, 39 clinicians

Practice addresses (Care Compare)

110 W Wissahickton Ave
Flourtown, PA 19031
Phone (215) 836-4179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP006359PAMDOccupational Therapy Assistant
OC015335PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East, LLC CurrentSince May 5, 2025 Accepting new patients
Mrs Physical Therapy CurrentSince Aug 29, 2021 Accepting new patients
Rehabcare Group East, LLC CurrentSince May 5, 2025 Accepting new patients
Medical Rehabilitation Systems, LLC PastSince Aug 29, 2021 Accepting new patients

Locations

4538 Peach St
Erie, PA 16509
Phone (814) 864-6650

110 W Wissahickon Ave
Flourtown, PA 19031
Phone (215) 646-2278

1537 Washington Rd
Pittsburgh, PA 15228
Phone (412) 341-4400

500 Market St
Ste 103
West Bridgewater, PA 15009
Phone (724) 728-7550

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1619036837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091364",
            "telephone_number": "814-864-6650",
            "fax_number": "814-806-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKET ST STE 103",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092998",
            "telephone_number": "724-728-7550",
            "fax_number": "724-647-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROMEK",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP006359",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "OC012185",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.

Verify at the official NPI Registry.