Emily Rose Grobbel, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019665 Issued in MI

Practice address

3826 44TH St SE
Grand Rapids, MI 49512-3919

Phone

(616) 451-4284

Fax

(616) 451-4811

NPI assigned

Sep 2, 2020

Last updated

Oct 20, 2021By the provider in NPPES

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duncan Lake Speech Therapy, LLC

  • Speech-Language Pathologist
  • Kentwood, MI
  • NPI 1376195925

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1730793225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE",
            "address_2": "STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-451-4284",
            "fax_number": "616-451-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 44TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495123919",
            "telephone_number": "616-451-4284",
            "fax_number": "616-451-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBBEL",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gro Optical, LLC (Blue Sky Vision Three Rivers)
• Gro Optical, LLC (Grand Rapids Opticians, LLC)
• Gro Optical, LLC (Michigan Optical)
• Gro Optical, LLC (G.R.O. Optical)
• Gro Optical, LLC (G.R.O. Optical)
• Emily Grochowalski, LMSW
• Daniel Wayne Grode, D.D.S.
• Stacey Lynne Grody, CTRS
• Alyssa Renee Groendyke, PA
• Caitlin Elizabeth Groeneveld, NP

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.