Iris A Grucela, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003110 Issued in NY

Practice address

800 Northern Blvd
Great Neck, NY 11021-5314

Phone

(516) 829-8450

Fax

(516) 829-8452

NPI assigned

Sep 23, 2005

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

Other identifiers 1

Other names 1

• Mrs. Iris A Horowitz Former name

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.

• Physical Therapy Associates of Great Neck PC

  • Physical Therapist
  • Great Neck, NY
  • NPI 1578559613
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1730175878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215314",
            "telephone_number": "516-829-8450",
            "fax_number": "516-829-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215314",
            "telephone_number": "516-829-8450",
            "fax_number": "516-829-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUCELA",
        "first_name": "IRIS",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Q73241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "HOROWITZ",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia (Cindy) Marti Gross, M.S.
• Alicia Beth Grossman, PT
• Tracy Robin Grossman, PH.D.
• Growth Mindset Psychological Services, P.C.
• Jack Gruber, D.D.S.
• Richard P Grucela, MS PT
• Bradley Scott Grunner, MS, RD, CDN
• Yuxi Gu, PHD, BCLD, DABCC
• Gladys Branly Guarton, PH.D
• David Gueli

• Physical Therapist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.