Individual provider Active NPI

Jennifer Lynn Grau, P.T., D.P.T.

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1710363437
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024677 Issued in PA
Practice address
2401 Pennsylvania Ave
Suite 1D5
Philadelphia, PA 19130-3010
Phone
(215) 236-3700
Fax
(215) 236-3466
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT024677 PA Primary

Addresses

Primary practice location

2401 Pennsylvania Ave
Suite 1D5
Philadelphia, PA 19130-3010

Mailing address

2401 Pennsylvania Ave
Suite 1D5
Philadelphia, PA 19130-3010
Phone (215) 236-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918000716 PA Practitioner - Physical Therapist in Private Practice 8022559020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT024677PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT, Inc. CurrentSince Aug 26, 2024 Accepting new patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients

Locations

1210 Bethlehem Pike
Ste B11
North Wales, PA 19454
Phone (267) 219-7760

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

2401 Pennsylvania Ave
Ste 1D5
Philadelphia, PA 19130
Phone (215) 236-3700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1710363437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE",
            "address_2": "SUITE 1D5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303010",
            "telephone_number": "215-236-3700",
            "fax_number": "215-236-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE",
            "address_2": "SUITE 1D5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303010",
            "telephone_number": "215-236-3700",
            "fax_number": "215-236-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAU",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.