Patrick Michael Grant, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

297273 Issued in CA

Practice address

1200 41St Ave Ste H
Capitola, CA 95010-3900

Phone

(831) 346-6886

NPI assigned

Aug 26, 2019

Last updated

Aug 26, 2019By the provider in NPPES

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Integrative RehabilitationGroup PAC ID 4183877459, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Advanced Integrative Rehabilitation

  dba FYZICAL Santa Cruz

  • Physical Therapy Clinic/Center
  • Capitola, CA
  • NPI 1902132012

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1801444666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 VIA BOGOTA",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816350",
            "telephone_number": "760-519-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 41ST AVE STE H",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103900",
            "telephone_number": "831-346-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden State Orthopedics & Spine
• Golden State Orthopedics & Spine
• Natalie Gonzalez
• Persephone B. Gonzalez
• Carla Collins Gorum, MD
• Lana Grassi
• Stephanie Melton Graziani, DO
• Nancy L Greenstreet, M.D.
• Julia H Greenwood, NP
• Diana Grey

• Physical Therapist in Capitola, CA
• Providers in Capitola, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.