Active NPI
Robert Grumbles, DPT
- Physical Therapist
- Anderson, SC
National Provider Identifier
1689023095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8180
- Practice address
- 120 Mutual Dr
Anderson, SC 29621-1767 - Phone
- (864) 261-3313
- Fax
- (864) 261-3371
- NPI assigned
- Jun 7, 2016
- 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 | 8180 | SC | Primary |
Addresses
Primary practice location
120 Mutual Dr
Anderson, SC 29621-1767
Mailing address
120 Mutual Dr
Anderson, SC 29621-1767
Phone (864) 261-3313
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8180 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Rehab Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Anderson, SC
- NPI 1144815077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1689023095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MUTUAL DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211767",
"telephone_number": "864-261-3313",
"fax_number": "864-261-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MUTUAL DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211767",
"telephone_number": "864-261-3313",
"fax_number": "864-261-3371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUMBLES",
"first_name": "ROBERT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.