Kimberly Grande, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01590300 Issued in NJ

Practice address

213 19TH Ave
Belmar, NJ 07719-2655

Phone

(609) 276-0538

Fax

(848) 900-8007

NPI assigned

Aug 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Adaptive Home Therapy, Inc.

  • Occupational Therapist
  • Toms River, NJ
  • NPI 1831192673

  NJ, Physical Therapist

  Medicare reassignment NPD
• Shoreside in Home Therapy

  • Physical Therapist
  • Belmar, NJ
  • NPI 1013514306
  NPD Authorized official
• Anil K Gupta MD PA

  • Cardiovascular Disease Physician
  • Toms River, NJ
  • NPI 1669459319
  NPD (past)
• Advance Rehabilitation and Consulting

  • Physical Therapist
  • Rome, GA
  • NPI 1174518682
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1649670530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 19TH AVE",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192655",
            "telephone_number": "609-276-0538",
            "fax_number": "848-900-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 19TH AVE",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192655",
            "telephone_number": "609-276-0538",
            "fax_number": "848-900-8007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 B Lindsey Lane",
            "address_purpose": "LOCATION",
            "city": "Kingsland",
            "state": "GA",
            "postal_code": "31548",
            "country_code": "US",
            "telephone_number": "912-510-6104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "KIMBERLY",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "UNKNOWN",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "29604",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01590300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Gdovin
• Joan Gilliland
• Tara Golding
• Allison Rose Gorczyca
• Christopher M Grande, ATC
• Gray Days Healing LLC
• Stephanie Graziano
• Bryan Hackett
• Charles Follis Hamill, DO
• Philip Lee Hanapole, DMD

• All providers in Belmar, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.