Active NPI
Michael J. Groman, P.T.
- Physical Therapist
- Punxsutawney, PA
National Provider Identifier
1720152010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008435L
- Practice address
- 81 Hillcrest Dr
Punxsutawney, PA 15767-2605 - Phone
- (814) 938-1809
- Fax
- (814) 938-1808
- NPI assigned
- Nov 20, 2006
- 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 | PT008435L | PA | Primary |
Addresses
Primary practice location
81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Mailing address
49 Coates LN
Indiana, PA 15701-3643
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008435L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720152010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 COATES LN",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HILLCREST DR",
"city": "PUNXSUTAWNEY",
"state": "PA",
"postal_code": "157672605",
"telephone_number": "814-938-1809",
"fax_number": "814-938-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROMAN",
"first_name": "MICHAEL",
"middle_name": "J.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT008435L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Punxsutawney, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.