Active NPIIndividual provider

Mary Grimm

Physical Therapy Assistant in Fanwood, New Jersey

NPI Number1467820613
Practice location
61 Daniel Pl, Fanwood, NJ 07023-1726
Fax
—
Last updated
September 4, 2015

Mary Grimm is a Physical Therapy Assistant based in Fanwood, NJ. Mary Grimm practices in Fanwood, NJ. The NPI Number for Mary Grimm is 1467820613 and holds a License No. 40QB00163600 (NJ). The current practice location address for Mary Grimm is 61 Daniel Pl, Fanwood, NJ 07023-1726 and can be reached out via phone at 908-889-2195.

Provider Profile Details

NPI Number
1467820613
Provider Name
Mary Grimm
Provider Entity Type
Individual
Gender
Female
Address
61 Daniel Pl, Fanwood, NJ 07023-1726
Phone Number
908-889-2195
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
September 4, 2015
Last Update Date
September 4, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 Daniel Pl
Fanwood, NJ 07023-1726
Zip
07023-1726
Phone Number
908-889-2195
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
61 Daniel Pl
Fanwood, NJ 07023-1726
City
Fanwood
State
NJ
Zip
07023-1726
Phone Number
908-889-2195

License Information

License Number
40QB00163600
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 Mary Grimm?

The NPI number of Mary Grimm is 1467820613. It was assigned on September 4, 2015 and is currently active in the NPPES registry.

What is the specialty of Mary Grimm?

Mary Grimm is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00163600.

Where does Mary Grimm practice?

The practice location is 61 Daniel Pl, Fanwood, NJ 07023-1726. The office can be reached at 908-889-2195 (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 1467820613 directly on the NPPES registry website.

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