Katie Bettina Grubb, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 00008246 Issued in WA

Practice address

400 Main Ave S
North Bend, WA 98045-8215

Phone

(425) 888-1156

Fax

(425) 888-6167

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peak Sports & Spine Physical Therapy-Renton, P.S.

  • Physical Therapist
  • Renton, WA
  • NPI 1841388618
  NPD (past)
• PT First Physical Therapy PC

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1346078045

  Physical Therapist

  NPD (past)
• Tassinari Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1760451561

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1720134828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST",
            "address_2": "STE. 3A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461",
            "telephone_number": "425-214-0020",
            "fax_number": "425-452-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN AVE S",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458215",
            "telephone_number": "425-888-1156",
            "fax_number": "425-888-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBB",
        "first_name": "KATIE",
        "middle_name": "BETTINA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 00008246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Gould, ND
• John Hammond Gower III, L.M.T.
• Graceful Mind Institute NP PS
• Cheryl Grant, OTR
• Linda S Greenwood Cantwell, LMP
• Suparna Gulati Venna
• Craig Guthrie, LMT
• Nicole Marie Hale, DPT
• Kathleen A Halloran, ND
• Allison Hanigan

• Physical Therapist in North Bend, WA
• Providers in North Bend, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.