Active NPI
Yakira M Gruber, DPT
- Physical Therapist
- Northglenn, CO
National Provider Identifier
1861944290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0014339
- Practice address
- 420 E 120TH Ave
Suite B-8
Northglenn, CO 80233-1127 - Phone
- (303) 280-3838
- NPI assigned
- Nov 2, 2016
- Sex
- Female
- 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 | 0014339 | CO | Primary |
Addresses
Primary practice location
420 E 120TH Ave
Suite B-8
Northglenn, CO 80233-1127
Mailing address
8155 E Fairmount Dr
Unit 238
Denver, CO 80230-6839
Phone (516) 660-3882
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014339 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1861944290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8155 E FAIRMOUNT DR",
"address_2": "UNIT 238",
"city": "DENVER",
"state": "CO",
"postal_code": "802306839",
"telephone_number": "516-660-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 120TH AVE",
"address_2": "SUITE B-8",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802331127",
"telephone_number": "303-280-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "YAKIRA",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-02",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0014339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.