KERRY L GROEBS (NPI# 1053640128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053640128 |
Entity Type | Individual |
Full Name | KERRY L GROEBS |
Credential | PT |
Practice Address |
5848 Fashion Blvd Murray UT 84107-6121 |
Practice Telephone | 8013144040 |
Mailing Telephone | 8013144040 |
Enumeration Date | 2009-12-18 |
Last Update Date | 2009-12-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
3088002401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
5848 FASHION BLVD |
City | MURRAY |
State | UT |
Zip Code | 84107-6121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154315521 | Lorie Lee | Physician Assistant | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2005-08-31 |
1215294228 | Hyrum John Kerbs | Special Hospital | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2012-04-13 |
1932476207 | Paige Janzen | Specialist/Technologist | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2011-11-30 |
1407166556 | Kary Ellen Woodruff | Dietitian, Registered | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2010-10-07 |
1568775765 | Andrew Bradley Frost | Physical Therapist | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2010-07-16 |
1164744272 | Kristin Nelson | Physical Therapist | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2010-02-17 |
1871822171 | Kristine R Spence | Dietitian, Registered | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2009-12-15 |
1720214778 | Thomas William Higgs | Physical Therapist | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2009-06-04 |
1346491917 | Laird S Swensen | Orthopaedic Surgery | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2008-10-01 |
1306093687 | Jesse Colin Christensen | Physical Therapist | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2008-08-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
Find all providers in zip 84107 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114278710 | Kimberli Lingard Brown | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2012-09-24 |
1346532082 | Esther Ellen Smith | Physical Therapist | 5121 Cottonwood St, Murray, UT 84107-5701 | 2011-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851940670 | Austin Jay Nielsen | Physical Therapist | 155 W Canyon Crest Rd Ste 100, Alpine, UT 84004-2031 | 2019-09-04 |
1669934378 | Heidi Olsen Tidwell | Physical Therapist | 1551 Renaissance Towne Dr Ste 420, Bountiful, UT 84010-7677 | 2019-04-02 |
1689148454 | Sargent Doil Barnett | Physical Therapist | 822 Turf Farm Rd Unit 3, Payson, UT 84651-5797 | 2019-01-15 |
1770054918 | Craft Physical Therapy | Physical Therapist | 537 W 600 S, Salt Lake City, UT 84101-2249 | 2018-12-16 |
1902390123 | Andrea Marie Hendricks Harper | Physical Therapist | 98 N 1100 E Ste 402, American Fork, UT 84003-2951 | 2018-06-20 |
1568960037 | Northern Holdings | Physical Therapist | 6321 S Redwood Rd Ste 100, Taylorsville, UT 84123-6799 | 2018-01-30 |
1134636269 | Elevation Physical Therapy | Physical Therapist | 985 W Riverdale Rd Ste 2, Riverdale, UT 84405-5601 | 2018-01-10 |
1336652957 | Brian Lewis Wike I | Physical Therapist | 1868 W 9800 S Ste 200, South Jordan, UT 84095-4713 | 2017-11-06 |
1538616230 | Michelle Smith | Physical Therapist | 1794 Olympic Pkwy, Suite 140, Park City, UT 84098-6387 | 2016-09-09 |
1558712455 | Tyler Landgren | Physical Therapist | 5349 Adams Ave Pkwy Ste A, Ogden, UT 84405-4736 | 2016-06-22 |
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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.