Individual provider Active NPI

Holly Nicole Groseth, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1891078622
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0012441 Issued in CO
Practice address
2172 S Trenton Way
#3-202
Denver, CO 80231-5379
Phone
(909) 223-2398
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT26820 FL
Physical Therapist 225100000X PTL.0012441 CO Primary

Addresses

Primary practice location

2172 S Trenton Way
#3-202
Denver, CO 80231-5379

Mailing address

2172 S Trenton Way
#3-202
Denver, CO 80231-5379
Phone (909) 223-2398

Other names 1

  • Holly Humphrey Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0012441COMDPhysical Therapist
PT26820FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1891078622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 S TRENTON WAY",
            "address_2": "#3-202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315379",
            "telephone_number": "909-223-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 S TRENTON WAY",
            "address_2": "#3-202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315379",
            "telephone_number": "909-223-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSETH",
        "first_name": "HOLLY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26820",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "HUMPHREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.