Individual provider Active NPI

Brian Neal Grant, DPT

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1780146027
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05011575A Issued in IN
Practice address
101 NW 1St St Ste 114
Evansville, IN 47708-1259
Phone
(812) 402-0444
NPI assigned
Apr 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 05011575A IN Primary

Addresses

Primary practice location

101 NW 1St St Ste 114
Evansville, IN 47708-1259

Mailing address

101 NW 1St St
Ste 114
Evansville, IN 47708-1259
Phone (812) 402-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190912002050 IN Practitioner - Physical Therapist in Private Practice 4284963422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Community Therapy IncGroup PAC ID 2961818398, 11 clinicians
Forefront Therapy LLCGroup PAC ID 4183917719, 3 clinicians

Practice addresses (Care Compare)

101 NW 1St St
Suite 114
Evansville, IN 47708-1259
Phone (812) 402-0444

201 SE 4TH St
Suite 150
Evansville, IN 47713-1201
Phone (812) 461-6716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05011575AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Community Therapy Inc Multi-Specialty CurrentSince Feb 1, 2021 Accepting new patients

Locations

201 SE 4th St
#150
Evansville, IN 47713
Phone (812) 461-6716

101 NW 1st St
Ste 114
Evansville, IN 47708
Phone (812) 402-0444

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1780146027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NW 1ST ST",
            "address_2": "STE 114",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081259",
            "telephone_number": "812-402-0444",
            "fax_number": "812-402-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW 1ST ST STE 114",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081259",
            "telephone_number": "812-402-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "BRIAN",
        "middle_name": "NEAL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011575A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.