Active NPI
Barry William Gross, PT
- Physical Therapist
- Owosso, MI
National Provider Identifier
1669973830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501011077
- Practice address
- 826 W King St
Owosso, MI 48867-2120 - Phone
- (989) 725-9424
- Fax
- (989) 725-0134
- NPI assigned
- Feb 23, 2018
- 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 | 5501011077 | MI | Primary |
Addresses
Primary practice location
826 W King St
Owosso, MI 48867-2120
Mailing address
826 W King St
Owosso, MI 48867-2120
Phone (989) 725-9424
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 |
|---|---|---|---|
| 5501011077 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1669973830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 W KING ST",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672120",
"telephone_number": "989-725-9424",
"fax_number": "989-725-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 W KING ST",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672120",
"telephone_number": "989-725-9424",
"fax_number": "989-725-0134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "BARRY",
"middle_name": "WILLIAM",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-23",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.