Active NPI
Dennis Leroy Grant, PT PHYSICAL THERAPIS
- Physical Therapist
- Charles City, IA
National Provider Identifier
1942413232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 117
- Practice address
- 800 S Main St
Floyd County Hospital
Charles City, IA 50616-3320 - Phone
- (641) 228-6344
- Fax
- (641) 257-4339
- NPI assigned
- May 7, 2007
- Sex
- Male
- 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 | 117 | IA | Primary |
Addresses
Primary practice location
800 S Main St
Floyd County Hospital
Charles City, IA 50616-3320
Mailing address
2145 Pin Oak Estates
Charles City, IA 50616
Phone (641) 228-2109
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
| License | State | Type | Specialty |
|---|---|---|---|
| 117 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942413232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 PIN OAK ESTATES",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "50616",
"telephone_number": "641-228-2109",
"fax_number": "641-257-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S MAIN ST",
"address_2": "FLOYD COUNTY HOSPITAL",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "506163320",
"telephone_number": "641-228-6344",
"fax_number": "641-257-4339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "DENNIS",
"middle_name": "LEROY",
"name_prefix": "Mr.",
"credential": "PT PHYSICAL THERAPIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charles City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.