Active NPI
Larry Allen Gruver, MPT,ATC
- Physical Therapist
- Gilbert, AZ
National Provider Identifier
1700826526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7159
- Practice address
- 3336 E Chandler Heights Rd
Suite 126
Gilbert, AZ 85298-4259 - Phone
- (480) 840-6125
- Fax
- (480) 840-6122
- NPI assigned
- Jun 8, 2006
- Last updated
- Nov 24, 2008
- 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 | 7159 | AZ | Primary |
Addresses
Primary practice location
3336 E Chandler Heights Rd
Suite 126
Gilbert, AZ 85298-4259
Mailing address
3336 E Chandler Heights Rd
Suite 126
Gilbert, AZ 85298-4259
Phone (480) 840-6125
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 |
|---|---|---|---|
| 2305 | NE | MD | Mental Health Counselor |
| 7159 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Rejuvenation Center of Chandler | Past | Accepting new patients | |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Past | Accepting new patients |
| Midwest Spine Clinic LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1558318170
-
dba The Rejuvenation Center
- Physical Medicine & Rehabilitation Physician
- Chandler, AZ
- NPI 1376588715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1700826526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3336 E CHANDLER HEIGHTS RD",
"address_2": "SUITE 126",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852984259",
"telephone_number": "480-840-6125",
"fax_number": "480-840-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3336 E CHANDLER HEIGHTS RD",
"address_2": "SUITE 126",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852984259",
"telephone_number": "480-840-6125",
"fax_number": "480-840-6122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUVER",
"first_name": "LARRY",
"middle_name": "ALLEN",
"credential": "MPT,ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "7159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.