Cory Grabow, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160009190 Issued in IL

Practice address

4201 W Medical Center Dr
McHenry, IL 60050-8409

Phone

(815) 307-0846

NPI assigned

Mar 21, 2021

Sex

Male

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)

Not 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.

• Express Yourself Therapy

  • Hearing and Speech Clinic/Center
  • Palatine, IL
  • NPI 1407251754
  NPD (past)
• Melissa Tolman M.S. CCC-SLP

  dba Express Yourself Therapy

  • Hearing and Speech Clinic/Center
  • Palatine, IL
  • NPI 1073920013
  NPD (past)

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1740866797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SKYRIDGE DR APT A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148919",
            "telephone_number": "815-307-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-307-0846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "887 E Wilmette Rd",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600746495",
            "country_code": "US",
            "telephone_number": "847-345-3384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABOW",
        "first_name": "CORY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-21",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160009190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Anne Gottschall, LCSW
• Leland T. Gough, DPT
• Thomas Leland Gough, D.D.S.
• Hunter Michelle Gourdie
• Satish P Gowda, M.D
• Ashley Lashawn Graham-Cobb
• Anthony A Grande, MD
• Tara Ryan Grandolfo, OTR/L
• Joan Grandrath
• Angeliqua Fonseca Grange, M.D.

• Physical Therapy Assistant in McHenry, IL
• Providers in McHenry, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2021; 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.