NPIMap

Organization Active NPI

Holly Marie Gross

Doing business as Giants Country Physical Therapy

  • Physical Therapist
  • Aurora, MN
National Provider Identifier
1972729176
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5727 Issued in MN
Legal business name
HOLLY MARIE GROSS
Doing business as
Giants Country Physical Therapy
Practice address
15 E 1St Ave N
Aurora, MN 55705-1386
Phone
(218) 229-2300
Fax
(218) 229-2005
NPI assigned
Apr 17, 2007
Reactivated
Jul 31, 2008
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Mrs. Holly Marie Gross, PTNPI 1427125475
Title
Owner
Phone
(218) 229-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5727 MN Primary

Addresses

Primary practice location

15 E 1St Ave N
Aurora, MN 55705-1386

Mailing address

15 E 1St Ave N
Aurora, MN 55705-1386
Phone (218) 229-2300

Other identifiers 3

IdentifierTypeStateIssuer
DD5185OtherRAILROAD MEDICARE
591R5GROtherMNBCBSMN
235786100MedicaidMN

Other names 1

  • Giants Country Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

15 E 1st Ave N
Aurora, MN 55705
Phone (218) 229-2300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1972729176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E 1ST AVE N",
            "city": "AURORA",
            "state": "MN",
            "postal_code": "557051386",
            "telephone_number": "218-229-2300",
            "fax_number": "218-229-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E 1ST AVE N",
            "city": "AURORA",
            "state": "MN",
            "postal_code": "557051386",
            "telephone_number": "218-229-2300",
            "fax_number": "218-229-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY MARIE GROSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-07-31",
        "deactivation_date": "2008-02-01",
        "reactivation_date": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-229-2300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD5185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMN",
            "identifier": "591R5GR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235786100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giants Country Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.