Active NPIIndividual providerSole proprietor

Mr. Thomas J Grable, ATC, PTA

Specialist/Technologist, Athletic Trainer in Randolph, New Jersey

NPI Number1538277371
Practice location
511 Millbrook Ave, Randolph, NJ 07869-3701
Fax
—
Last updated
June 10, 2008

Thomas J Grable is a Specialist/Technologist, Athletic Trainer based in Randolph, NJ. Thomas J Grable practices in Randolph, NJ and has the professional credentials of ATC, PTA. The NPI Number for Thomas J Grable is 1538277371 and holds a License No. 25MT00060600 (NJ). The current practice location address for Thomas J Grable is 511 Millbrook Ave, Randolph, NJ 07869-3701 and can be reached out via phone at 973-361-2400.

Provider Profile Details

NPI Number
1538277371
Provider Name
Thomas J Grable
Credential
ATC, PTA
Provider Entity Type
Individual
Gender
Male
Address
511 Millbrook Ave, Randolph, NJ 07869-3701
Phone Number
973-361-2400
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
August 29, 2006
Last Update Date
June 10, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
511 Millbrook Ave
Randolph, NJ 07869-3701
Zip
07869-3701
Phone Number
973-361-2400
Randolph, NJ 07869Get directions →

Provider Business Mailing Address Details

Address
300 Elm St
Cranford, NJ 07016-3013
City
Cranford
State
NJ
Zip
07016-3013
Phone Number
908-272-6720

License Information

License Number (1)
25MT00060600
License State (1)
NJ
Taxonomy (1)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
License Number (2)
40QB00115800
License State (2)
NJ
Taxonomy (2)
Physical Therapy Assistant · 225200000X

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. Thomas J Grable, ATC, PTA?

The NPI number of Mr. Thomas J Grable, ATC, PTA is 1538277371. It was assigned on August 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Thomas J Grable, ATC, PTA?

Mr. Thomas J Grable, ATC, PTA is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00060600.

Where does Mr. Thomas J Grable, ATC, PTA practice?

The practice location is 511 Millbrook Ave, Randolph, NJ 07869-3701. The office can be reached at 973-361-2400 (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 1538277371 directly on the NPPES registry website.

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