KEVIN CHARLES GROUSTRA (NPI# 1316128499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316128499 |
| Entity Type | Individual |
| Full Name | KEVIN CHARLES GROUSTRA |
| Credential | M.S.P.T. |
| Practice Address |
9601 Interstate 630 Exit 7 Little Rock AR 72205-7202 |
| Mailing Address |
9601 Interstate 630 Exit 7 Little Rock AR 72205 |
| Practice Telephone | 5012022685 |
| Practice Fax Number | 5012022003 |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2007-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1146 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9601 INTERSTATE 630 EXIT 7 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957200 | Select Specialty Hospital - Little Rock/bmc Inc | Long Term Care Hospital | 9601 Interstate 630, Exit 7, 10th Floor, Little Rock, AR 72205-7202 | 2005-07-22 |
| 1619386778 | Mary Roberts | Registered Nurse | 9601 Interstate 630, Little Rock, AR 72205-7202 | 2014-08-03 |
| 1477968030 | Casey G Polk | Nurse Anesthetist, Certified Registered | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2014-06-23 |
| 1659704351 | Sammantha Ann Hicks | Physical Therapist | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2013-08-16 |
| 1114361425 | Chris Andrew Whaley | Rehabilitation Hospital | 9601 Interstate 630, Little Rock, AR 72205 | 2013-04-18 |
| 1366788796 | Chad Sullivan Stewart | Nurse Anesthetist, Certified Registered | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2012-12-12 |
| 1225373657 | Emily Foster Eisenach | Nurse Anesthetist, Certified Registered | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2012-12-12 |
| 1194061523 | Rebecca Wynne Novack | Nurse Anesthetist, Certified Registered | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2012-12-12 |
| 1144462383 | Shayna Marie Wood | Pediatrics | 9601 Interstate 630, Little Rock, AR 72205-7202 | 2009-04-02 |
| 1841489234 | Alicia Carter Brucks | Speech-Language Pathologist | 9601 Interstate 630, Little Rock, AR 72205-7202 | 2007-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497238851 | Montana Chapman | Physical Therapist | 10014 N Rodney Parham Rd Ste 103, Little Rock, AR 72227-5598 | 2018-09-12 |
| 1992288351 | Tyler Bass | Physical Therapist | 10014 N Rodney Parham Rd Ste 103, Little Rock, AR 72227-5598 | 2018-09-12 |
| 1568871556 | Stephen Blake | Physical Therapist | 10901 N Rodney Parham Rd, Suite 7a, Little Rock, AR 72212-4114 | 2014-08-05 |
| 1790115459 | Sydney Lauren Bishop | Physical Therapist | 10301 Kanis Rd, Attn: Physical Therapy Department, Little Rock, AR 72205-6205 | 2013-11-16 |
| 1184868630 | David Houk | Physical Therapist | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2009-04-28 |
| 1952586992 | Brian Richard Murphy | Physical Therapist | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2008-01-09 |
| 1750582821 | Patrick Jeffrey Nalley | Physical Therapist | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2007-05-29 |
| 1417914649 | Matthew J Schrand | Physical Therapist | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2006-05-01 |
| 1851358089 | Debra Fogelman Williamson | Physical Therapist | 5 Saint Vincent Cir, Ste 100, Little Rock, AR 72205-5412 | 2006-05-01 |
| 1164489308 | Michelle Jolene Naylor | Physical Therapist | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2006-05-01 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on KEVIN CHARLES GROUSTRA.
| 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.