Individual provider Active NPI

Sarah Lynn Grossman, PT

  • Physical Therapist
  • Port Townsend, WA
National Provider Identifier
1881693554
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3407 Issued in WA
Practice address
1215 Lawrence St
Ste 101
Port Townsend, WA 98368-6554
Phone
(360) 385-1035
Fax
(360) 385-4395
NPI assigned
Jul 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3407 WA Primary

Addresses

Primary practice location

1215 Lawrence St
Ste 101
Port Townsend, WA 98368-6554

Mailing address

1215 Lawrence St
Ste 101
Port Townsend, WA 98368-6554
Phone (360) 385-1035

Other identifiers 1

IdentifierTypeStateIssuer
8416646MedicaidWA

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

LicenseStateTypeSpecialty
3407WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1881693554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LAWRENCE ST",
            "address_2": "STE 101",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686554",
            "telephone_number": "360-385-1035",
            "fax_number": "360-385-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LAWRENCE ST",
            "address_2": "STE 101",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686554",
            "telephone_number": "360-385-1035",
            "fax_number": "360-385-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "3407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8416646",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.