Alice Kay Grohoske, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 20742 Issued in FL

Practice address

450 Racetrack Rd NW
Suite G
Fort Walton Beach, FL 32547-3837

Phone

(850) 863-4698

Fax

(850) 863-8580

NPI assigned

Mar 12, 2008

Last updated

Mar 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gulf Breeze Physical Therapy Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Pensacola, FL
  • NPI 1730183153
  NPD (past)

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1619148111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614835",
            "telephone_number": "850-932-6382",
            "fax_number": "850-932-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 RACETRACK RD NW",
            "address_2": "SUITE G",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473837",
            "telephone_number": "850-863-4698",
            "fax_number": "850-863-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROHOSKE",
        "first_name": "ALICE",
        "middle_name": "KAY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 20742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dmitry Greznev, CRNA
• Erica Luisa Griffin, OTR/L
• Tracey J Griffin, ED.D, NCSP
• Alina Griffith, LMHC
• Brittany Nicole Grimes, FNP-C
• Hester Grosskopf, OT
• Kimberly Grossman, FNP
• Malinda Irene Grow
• Jerzy Grzebieluch, MD
• Nahlo Gueu, RBT

• Physical Therapy Assistant in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.