Thomas Glen Grover, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

60044890 Issued in WA

Practice address

3850 S Meridian
Suite 03
Puyallup, WA 98373-3701

Phone

(253) 845-9098

NPI assigned

Nov 13, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• U.S Heath Works

  • Physical Therapy Assistant
  • Puyallup, WA
  • NPI 1770840258
  NPD (past)

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1902133804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 55TH PL NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984223253",
            "telephone_number": "253-568-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 S MERIDIAN",
            "address_2": "SUITE 03",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733701",
            "telephone_number": "253-845-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "THOMAS",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60044890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Louise Groda-Lewis, MD
• Stacie Lee Grogan, LMP
• Julie Gronski, OTR/L
• Paul Frank Groschel, PT
• Jessica Dawn Svedberg Grout, LMFTA
• Mark S Grubb, M.D.
• Nancy A Grubb, MD
• Denise J Gruchalla, PA-C
• Brandon Guariglia, DMD
• Jonathan Michael Gubbe

• Physical Therapy Assistant in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.