Provider Demographics
NPI:1487606224
Name:GRABINSKI, EDWARD J (MSPT)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:J
Last Name:GRABINSKI
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 S CEDAR CREST BLVD STE 212B
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6214
Mailing Address - Country:US
Mailing Address - Phone:610-662-1583
Mailing Address - Fax:833-450-0378
Practice Address - Street 1:1251 S CEDAR CREST BLVD STE 212B
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6214
Practice Address - Country:US
Practice Address - Phone:610-662-1583
Practice Address - Fax:833-450-0378
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0151282251E1300X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, Clinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1487606224OtherNPI
Q22311Medicare UPIN
PA1487606224OtherNPI