MR. RANDALL WALTER GROSSGLASS (NPI# 1033217054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033217054 |
| Entity Type | Individual |
| Full Name | MR. RANDALL WALTER GROSSGLASS |
| Credential | PT |
| Practice Address |
134 E Bloomingdale Ave Brandon FL 33511-8101 |
| Mailing Address |
3904 Bellewater Blvd Riverview FL 33569-3106 |
| Practice Telephone | 8136811627 |
| Practice Fax Number | 8136841356 |
| Mailing Telephone | 8135085474 |
| Mailing Fax Number | 8136841356 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT18479 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
134 E BLOOMINGDALE AVE |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396763215 | Physiotherapy Associates Inc | Clinic/Center | 134 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2006-07-18 |
| 1265071013 | Zachary Scott Rang | Physical Therapist | 134 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2019-12-26 |
| 1013566165 | Jordan Lee Huffman | Physical Medicine & Rehabilitation | 134 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2019-09-10 |
| 1245761386 | Priscila Andrea Medina | Specialist/Technologist | 134 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2017-03-21 |
| 1073984191 | Physiotherapy Associates | Clinic/Center | 134 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2015-10-15 |
| 1164795506 | Kristen Robertson | Physical Therapist | 134 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2012-02-15 |
| 1629301650 | Amy Nicole Stowe | Physical Therapist | 134 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2009-09-09 |
| 1619051349 | Tara Hahn Taylor | Physical Therapist | 134 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467835686 | James Fehrenbacher | Physical Therapist | 702 Treeline Dr, Brandon, MS 39042-4036 | 2015-07-07 |
| 1275849531 | Andrew Michael Weiner | Physical Therapist | 1121 Professional Park Dr, Brandon, FL 33511-4887 | 2010-08-25 |
| 1881627412 | Joshua James Sperry | Physical Therapist | 305 W Robertson St, Brandon, FL 33511-5115 | 2006-07-08 |
| 1679123699 | Leanna Kristen Berry | Physical Therapist | 932 Oakfield Dr, Brandon, FL 33511-4950 | 2019-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422064 | Purpose Physical Therapy and Wellness, LLC | Physical Therapist | 3369 10th St N, St Petersburg, FL 33704-1205 | 2020-09-16 |
| 1114532074 | Rezalo Health & Performance | Physical Therapist | 27402 Bonterra Loop Apt 401, Wesley Chapel, FL 33544-5165 | 2020-09-08 |
| 1578173217 | Katherine Herzfeld | Physical Therapist | 2954 Mallory Cir Ste 110, Celebration, FL 34747-1820 | 2020-08-07 |
| 1447875331 | Janelle Marie Fleites | Physical Therapist | 6190 Sw 116th St, Pinecrest, FL 33156-4957 | 2020-06-16 |
| 1154944155 | University of Central Florida | Physical Therapist | 4098 Libra Dr Ste 114, Orlando, FL 32816-8026 | 2020-05-26 |
| 1164044590 | Prestige Health & Performance | Physical Therapist | 20354 Chestnut Grove Dr, Tampa, FL 33647-3344 | 2020-05-07 |
| 1295356491 | Complex Somi LLC | Physical Therapist | 5829 Sw 73rd St Ste 2, South Miami, FL 33143-5276 | 2020-04-29 |
| 1952939043 | Fix It Physical Therapy, LLC | Physical Therapist | 8262 Griffin Rd, Davie, FL 33328-3715 | 2020-04-01 |
| 1649806449 | Korbin Joseph Keene | Physical Therapist | 1053 Medical Center Dr Ste 151, Orange City, FL 32763-8261 | 2020-03-13 |
| 1740814391 | Jessy Chang | Physical Therapist | 8615 S Tamiami Trl # 1, Sarasota, FL 34238-3052 | 2020-02-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.