Active NPI
Danielle Grozier, DPT
- Physical Therapist
- Mifflinburg, PA
National Provider Identifier
1629355243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL-11503
- Practice address
- 14 S 11TH St
Mifflinburg, PA 17844-9792 - Phone
- (570) 441-4831
- NPI assigned
- Nov 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL-11503 | CO | Primary |
| Physical Therapist | 225100000X | PT022746 | PA |
Addresses
Primary practice location
14 S 11TH St
Mifflinburg, PA 17844-9792
Mailing address
1928 Steel St
Berwick, PA 18603-2549
Phone (570) 441-4831
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL-11503 | CO | MD | Physical Therapist |
| PT022746 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1629355243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1928 STEEL ST",
"city": "BERWICK",
"state": "PA",
"postal_code": "186032549",
"telephone_number": "570-441-4831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 S 11TH ST",
"city": "MIFFLINBURG",
"state": "PA",
"postal_code": "178449792",
"telephone_number": "570-441-4831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROZIER",
"first_name": "DANIELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-10",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL-11503",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT022746",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mifflinburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.