Active NPIIndividual providerSole proprietor

Mr. Kenneth C Grosso, PTA

Physical Therapy Assistant in West Orange, New Jersey

NPI Number1043447717
Practice location
20 Summit St, West Orange, NJ 07052-1501
Fax
—
Last updated
June 19, 2009

Kenneth C Grosso is a Physical Therapy Assistant based in West Orange, NJ. Kenneth C Grosso practices in West Orange, NJ and has the professional credentials of PTA. The NPI Number for Kenneth C Grosso is 1043447717 and holds a License No. 40qb00162500 (NJ). The current practice location address for Kenneth C Grosso is 20 Summit St, West Orange, NJ 07052-1501 and can be reached out via phone at 973-736-2000.

Provider Profile Details

NPI Number
1043447717
Provider Name
Kenneth C Grosso
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
20 Summit St, West Orange, NJ 07052-1501
Phone Number
973-736-2000
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
June 19, 2009
Last Update Date
June 19, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Summit St
West Orange, NJ 07052-1501
Zip
07052-1501
Phone Number
973-736-2000
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
20 Summit St
West Orange, NJ 07052-1501
City
West Orange
State
NJ
Zip
07052-1501

License Information

License Number
40qb00162500
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kenneth C Grosso, PTA?

The NPI number of Mr. Kenneth C Grosso, PTA is 1043447717. It was assigned on June 19, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Kenneth C Grosso, PTA?

Mr. Kenneth C Grosso, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40qb00162500.

Where does Mr. Kenneth C Grosso, PTA practice?

The practice location is 20 Summit St, West Orange, NJ 07052-1501. The office can be reached at 973-736-2000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043447717 directly on the NPPES registry website.

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