COLIN R GROVE (NPI# 1508870189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508870189 |
| Entity Type | Individual |
| Full Name | COLIN R GROVE |
| Credential | PT, MS, NCS |
| Practice Address |
6630 University Ave Rehabilitation Clinic - Middleton Mail Code 9430 Middleton WI 53562-3036 |
| Practice Telephone | 6082638412 |
| Mailing Telephone | 6082638412 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
4776-24 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | PT NEURO REHAB | 4776-24 | 01 |
| Street Address |
6630 UNIVERSITY AVE REHABILITATION CLINIC - MIDDLETON MAIL CODE 9430 |
| City | MIDDLETON |
| State | WI |
| Zip Code | 53562-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043282221 | William P Shannon | Physical Medicine & Rehabilitation | 6630 University Ave, Middleton, WI 53562-3036 | 2006-02-02 |
| 1386297232 | Emily Katz | Occupational Therapist | 6630 University Ave, Middleton, WI 53562-3036 | 2019-07-19 |
| 1356837199 | University of Wisconsin Hospitals and Clinics Authority | Prosthetic/Orthotic Supplier | 6630 University Ave, Middleton, WI 53562-3036 | 2018-07-05 |
| 1760979504 | University of Wisconsin Hospitals and Clincs Authority | Durable Medical Equipment & Medical Supplies | 6630 University Ave, Middleton, WI 53562-3036 | 2018-04-17 |
| 1063961878 | Lindsey Marie Stanek | Physical Therapist | 6630 University Ave, Middleton, WI 53562-3036 | 2016-09-22 |
| 1184072282 | Terriss Conterato | Speech-Language Pathologist | 6630 University Ave, Middleton, WI 53562-3036 | 2016-05-31 |
| 1902275399 | Codi William Halbur | Physical Therapist | 6630 University Ave, Middleton, WI 53562-3036 | 2015-09-16 |
| 1740687375 | Paul Nitsche | Technician, Other | 6630 University Ave, Middleton, WI 53562-3036 | 2014-11-25 |
| 1548685092 | Kerry M Stanhope | Occupational Therapist | 6630 University Ave, Middleton, WI 53562 | 2014-02-20 |
| 1740610468 | Ashley M Malm | Physical Therapist | 6630 University Ave, Middleton, WI 53562-3036 | 2013-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143802 | Taylor Moore | Chiropractor | 6629 University Ave Ste 101, Middleton, WI 53562 | 2019-06-20 |
| 1558861302 | Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | 6649 University Ave Ste 100, Middleton, WI 53562 | 2018-02-19 |
| 1750804514 | University of Wisconsin Hospitals and Clinics Authority | Pharmacy | 3185 Deming Way, Middleton, WI 53562 | 2017-07-24 |
| 1285165803 | Julie Zimmerman | Pharmacist | 7414 Voss Pkwy, Middleton, WI 53562 | 2017-03-24 |
| 1982072773 | Gina Craig | Physical Therapist | 2521 Allen Boulevard, Middleton, WI 53562 | 2015-09-10 |
| 1588030464 | Nicholas Capote | Pharmacist | 600 Highland Avenue, F6/133, Madison, WI 53562 | 2015-08-14 |
| 1679975734 | Emily Herzog | Nurse Practitioner | 7248 Squire Cir, Middleton, WI 53562 | 2014-09-20 |
| 1942620752 | Brooke Michelle Moungey | Emergency Medicine | 8540 Greenway Blvd, Middleton, WI 53562 | 2014-04-18 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1740525971 | Sara E.m. Nichols | Veterinarian | 1612 N. High Point Rd., Middleton, WI 53562 | 2012-11-28 |
| Find all providers in zip 53562 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952577801 | Heather Marie Dhaseleer | Occupational Therapist | 7808 Mitzi Ln, Rhinelander, WI 54501-8494 | 2008-05-01 |
| 1972707305 | Mari Lynn Carol Young | Occupational Therapist | 6362 S 20th St, Milwaukee, WI 53221-5255 | 2007-06-11 |
| 1841243185 | Laura M. Hey | Occupational Therapist | 2025 E. Newport Ave., Milwaukee, WI 53211 | 2006-05-18 |
| 1205094646 | Mary T Kruse | Occupational Therapist | 1126 S 70th St, Suite S305b, West Allis, WI 53214-3151 | 2008-05-31 |
| 1760660377 | Pause for Healing, LLC | Occupational Therapist | 13965 W Burleigh Rd, Suite 103, Brookfield, WI 53005-3064 | 2008-02-06 |
| 1174724074 | Alyssa Jacqueline Reas | Occupational Therapist | 354 N Main St, Oregon, WI 53575-1426 | 2007-05-29 |
| 1578772760 | Melanie Kay Hertzog | Occupational Therapist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2007-05-22 |
| 1841382066 | Diane Fay Kahl | Occupational Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2006-09-28 |
| 1831297613 | Jennifer L. Mennicke Anderson | Occupational Therapist | 317 Knutson Dr, Madison, WI 53704-1133 | 2006-09-20 |
| 1497853899 | Christopher Joseph Suess | Occupational Therapist | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2006-09-20 |
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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.