Active NPI
Scott Grauman, DPT
- Physical Therapist
- Stuart, FL
National Provider Identifier
1629516950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32325
- Practice address
- 4900 SE Willoughby Blvd
Stuart, FL 34997-4009 - Phone
- (667) 401-6090
- NPI assigned
- Feb 7, 2017
- 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 | PT32325 | FL | Primary |
Addresses
Primary practice location
4900 SE Willoughby Blvd
Stuart, FL 34997-4009
Mailing address
8236 NW Greenbank Cir
Port St Lucie, FL 34987-3045
Phone (317) 918-4526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020389000 | Medicaid | FL |
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
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1629516950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8236 NW GREENBANK CIR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349873045",
"telephone_number": "317-918-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 SE WILLOUGHBY BLVD",
"city": "STUART",
"state": "FL",
"postal_code": "349974009",
"telephone_number": "667-401-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAUMAN",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-07",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020389000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.