Active NPI
David Allen Groh, PT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1851461396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1639
- Practice address
- 3655 Las Vegas Blvd S
Las Vegas, NV 89109-4345 - Phone
- (702) 946-4519
- Fax
- (702) 946-3276
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1639 | NV | Primary |
Addresses
Primary practice location
3655 Las Vegas Blvd S
Las Vegas, NV 89109-4345
Mailing address
3250 Players Club Pkwy
Memphis, TN 38125-8844
Phone (901) 685-7227
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct to You Physical Therapy, PLLC | Current | Accepting new patients | |
| Gymphysio LLC | Physical Therapist | Past | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Interoperability endpoints
- david.groh.1@14940.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Las Vegas, NV
- NPI 1013526045
-
- Physical Therapist
- Las Vegas, NV
- NPI 1073139986
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1851461396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 PLAYERS CLUB PKWY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258844",
"telephone_number": "901-685-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 LAS VEGAS BLVD S",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891094345",
"telephone_number": "702-946-4519",
"fax_number": "702-946-3276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROH",
"first_name": "DAVID",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.