Active NPI
Erica Grant, OTRL
- Physical Therapist
- Hazleton, PA
National Provider Identifier
1730220179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- OC009136
- Practice address
- 221 W Tamarack St
Pindar Physical Therapy Inc
Hazleton, PA 18201 - Phone
- (570) 401-6566
- Fax
- (570) 501-2435
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- 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 | OC009136 | PA | Primary |
Addresses
Primary practice location
221 W Tamarack St
Pindar Physical Therapy Inc
Hazleton, PA 18201
Mailing address
Rear 416 Putnam St
West Hazleton, PA 18202
Phone (570) 453-3580
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 |
|---|---|---|---|
| OC009136 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pindar Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Hazleton, PA
- NPI 1598800385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730220179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "REAR 416 PUTNAM ST",
"city": "WEST HAZLETON",
"state": "PA",
"postal_code": "18202",
"telephone_number": "570-453-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W TAMARACK ST",
"address_2": "PINDAR PHYSICAL THERAPY INC",
"city": "HAZLETON",
"state": "PA",
"postal_code": "18201",
"telephone_number": "570-401-6566",
"fax_number": "570-501-2435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "ERICA",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "OC009136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazleton, 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.