Active NPI
Maria Nichole Gruszczynski, P.T.
- Physical Therapist
- Fresno, CA
National Provider Identifier
1881839769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35165
- Practice address
- 7721 N 1St St
Fresno, CA 93720-0962 - Phone
- (559) 439-8151
- NPI assigned
- Dec 8, 2008
- 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 | 35165 | CA | Primary |
Addresses
Primary practice location
7721 N 1St St
Fresno, CA 93720-0962
Mailing address
1594 E Decatur Ave
Fresno, CA 93720-2738
Phone (559) 285-8843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 35165 | Other | CA | STATE OF CALIFORNIA PHYSICAL THERAPY BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1881839769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1594 E DECATUR AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202738",
"telephone_number": "559-285-8843",
"fax_number": "559-570-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7721 N 1ST ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200962",
"telephone_number": "559-439-8151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUSZCZYNSKI",
"first_name": "MARIA",
"middle_name": "NICHOLE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-08",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CALIFORNIA PHYSICAL THERAPY BOARD",
"identifier": "PT 35165",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.