Mr. Donald Ray Grosskopf
Physical Therapy Assistant
2300 Partin Dr N
Niceville
, Florida 32578-1538
Mr. Donald Ray Grosskopf
Physical Therapy Assistant
2300 Partin Dr N
Niceville
, Florida 32578-1538
(850) 278-6607
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Mr. Donald Ray Grosskopf
- 178 Driftwood Point Rd
- Santa Rosa Beach, FL
- Zip : 32459-3018
- Fax : (850) 278-6607
- Phone : (850) 417-6308
Second Address
- Mr. Donald Ray Grosskopf
- 2300 Partin Dr N
- Niceville, FL
- Zip : 32578-1538
- Fax : (850) 678-7400
- Phone : (850) 678-5500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA 21489 | FL |
National Provider Identifier
| NPI | 1003136938 |
|---|---|
| Provider Name | Mr. Donald Ray Grosskopf |
| First Address | Santa Rosa Beach, FL 32459-3018 |
| Second Address | Niceville, FL 32578-1538 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2010 |
| Last Update Date | 02/06/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.