Individual provider Active NPI

Kirsten Marie Grimes, PT, DPT

  • Rehabilitation Clinic/Center
  • West Seneca, NY
National Provider Identifier
1750758538
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Practice address
355 Harlem Rd
West Seneca, NY 14224-1892
Phone
(716) 821-7000
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

355 Harlem Rd
West Seneca, NY 14224-1892

Mailing address

355 Harlem Rd
West Seneca, NY 14224-1892
Phone (716) 821-7000

Other practice location 1

4 Losson Garden Dr
Apt 5
Cheektowaga, NY 14227-2333
Phone (631) 827-7221

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

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1750758538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 HARLEM RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241892",
            "telephone_number": "716-821-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 HARLEM RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241892",
            "telephone_number": "716-821-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Losson Garden Dr",
            "address_2": "Apt 5",
            "address_purpose": "LOCATION",
            "city": "Cheektowaga",
            "state": "NY",
            "postal_code": "142272333",
            "country_code": "US",
            "telephone_number": "631-827-7221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "KIRSTEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.