Active NPI
Mary Beth Veronica Grubb, PT
- Physical Therapist
- Bethlehem, PA
National Provider Identifier
1649372160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012648L
- Practice address
- 3201 Highfield Dr
Suite G C/O Core Physical Therapy
Bethlehem, PA 18020-1113 - Phone
- (610) 882-9611
- Fax
- (610) 882-2717
- NPI assigned
- Sep 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012648L | PA | Primary |
Addresses
Primary practice location
3201 Highfield Dr
Suite G C/O Core Physical Therapy
Bethlehem, PA 18020-1113
Mailing address
3201 Highfield Dr
Suite G C/O Core Physical Therapy
Bethlehem, PA 18020-1113
Phone (610) 882-9611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR1658088 | Other | PA | HIGHMARK BLUE SHIELD |
| 50047169 | Other | PA | CAPITOL BLUE CROSS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayada Home Health Care, Inc. | Past | Accepting new patients | |
| Core Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Newtown Square, PA
- NPI 1497796544
-
- Physical Therapy Clinic/Center
- Bethlehem, PA
- NPI 1841392362
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649372160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 HIGHFIELD DR",
"address_2": "SUITE G C/O CORE PHYSICAL THERAPY",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180201113",
"telephone_number": "610-882-9611",
"fax_number": "610-882-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 HIGHFIELD DR",
"address_2": "SUITE G C/O CORE PHYSICAL THERAPY",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180201113",
"telephone_number": "610-882-9611",
"fax_number": "610-882-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBB",
"first_name": "MARY BETH",
"middle_name": "VERONICA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT012648L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "GR1658088",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITOL BLUE CROSS",
"identifier": "50047169",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.