Lisa Groner, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01388600 Issued in NJ

Practice address

39-40 Broadway
Suite 4
Fair Lawn, NJ 07410-5419

Phone

(917) 957-5472

NPI assigned

Mar 7, 2011

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1811295470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HARLOW CRES",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105236",
            "telephone_number": "917-957-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39-40 BROADWAY",
            "address_2": "SUITE 4",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105419",
            "telephone_number": "917-957-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONER",
        "first_name": "LISA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01388600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Charles Grace, PSY.D.
• Bryan F Granelli, PH.D.
• Robert Greenblum, MD
• Sarah Gregor, LSW
• James Grochowski, BCBA
• Steven Grossman, MD, FACC
• Ground Floor Pelvic Physical Therapy LLC
• Carlo Gino Guardascione, FNP-BC
• Jenna Ann Guarinello, LAC
• Marina Guelfguat, DDS

• Physical Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.