Individual provider Active NPI

Doreen Grindler, PT

  • Pediatric Physical Therapist
  • Calabasas, CA
National Provider Identifier
1952630147
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT9584 Issued in CA
Practice address
26560 Agoura Rd
#110-B
Calabasas, CA 91302-1926
Phone
(818) 880-1260
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT9584 CA Primary

Addresses

Primary practice location

26560 Agoura Rd
#110-B
Calabasas, CA 91302-1926

Mailing address

27809 Sandstone CT
Valencia, CA 91354-1444
Phone (818) 326-5616

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
PT9584CAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kolchins/Thomas Infant Development Services, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1952630147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27809 SANDSTONE CT",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541444",
            "telephone_number": "818-326-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26560 AGOURA RD",
            "address_2": "#110-B",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021926",
            "telephone_number": "818-880-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDLER",
        "first_name": "DOREEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT9584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.