Joan Carol Grawburg, BS PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501002528 Issued in MI

Practice address

14900 Shoreline Dr
Sterling Heights, MI 48313-2251

Phone

(586) 247-4700

NPI assigned

Mar 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Joan Carol Songer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1689179699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11227 DIAMOND DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142614",
            "telephone_number": "248-842-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14900 SHORELINE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483132251",
            "telephone_number": "586-247-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAWBURG",
        "first_name": "JOAN",
        "middle_name": "CAROL",
        "credential": "BS PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "SONGER",
            "middle_name": "CAROL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.