Jack L Grimm in Springfield - Physical Therapist
Jack L Grimm - NPI 1902881402
Jack L Grimm is a Physical Therapist in Springfield, Ohio. Jack L Grimm practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jack L Grimm is 1902881402. The last update date is 2007-07-08.
Jack L Grimm's current location address is 2221 Grube St, Springfield, Ohio. You can contact this provider via phone number 9373998941 and fax number 9373995639. The mailing address for Jack L Grimm is 2221 Grube St, Springfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack L Grimm |
|---|---|
| Address | 2221 Grube St, Springfield, Ohio |
| Phone Number | 9373998941 |
| Fax Number | 9373995639 |
| Sole Proprietor | X |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1902881402 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2221 Grube St |
|---|---|
| City | Springfield |
| State | Ohio (OH) |
| Post Code | 455032642 |
| Phone Number | 9373998941 |
| Fax Number | 9373995639 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 9554 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31 110415400 | OH | BWC |
Post Comment/ Review Below
What is the unique identification code assigned to Jack L Grimm by the Centers for Medicare & Medicaid Services?
The Jack L Grimm has been issued the NPI (National Provider Identifier) 1902881402. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jack L Grimm's facilities are geographically located?
The facilities of Jack L Grimm are physically situated at the following location: 2221 Grube St, Springfield, OH, 455032642.
What is the area of specialization for Jack L Grimm, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack L Grimm is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did Jack L Grimm receive its 1902881402 assignment from the Centers for Medicare & Medicaid Services?
The Jack L Grimm was assigned its 1902881402 on 2005-12-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jack L Grimm most recently updated or revised?
The information pertaining to Jack L Grimm, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.