Individual provider Active NPI

Karine Isaeris Grajales, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1881945632
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034736-1 Issued in NY
Practice address
1317 3Rd Avenue
6TH Floor
New York, NY 10021
Phone
(212) 288-2242
Fax
(212) 288-4388
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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 034736-1 NY Primary

Addresses

Primary practice location

1317 3Rd Avenue
6TH Floor
New York, NY 10021

Mailing address

19 Hamilton Terrace
Apt 2J
New York, NY 10031
Phone (212) 288-2242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130114000023 NY Practitioner - Physical Therapist in Private Practice 9032362546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stroma Physical Therapy LLCGroup PAC ID 8123204401, 11 clinicians

Practice addresses (Care Compare)

152 W 25TH St
Suite 601
New York, NY 10001-7480
Phone (212) 255-5531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034736-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise PT OT Speech Nutrition PLLC Physical Therapist Past Accepting new patients
Emh Physical Therapy PC Physical Therapist PastSince Nov 1, 2012 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1881945632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HAMILTON TERRACE",
            "address_2": "APT 2J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10031",
            "telephone_number": "212-288-2242",
            "fax_number": "212-288-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 3RD AVENUE",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-288-2242",
            "fax_number": "212-288-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAJALES",
        "first_name": "KARINE",
        "middle_name": "ISAERIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034736-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.