Theddy Trece Grumo, PTA
NPI 1104452267 · Physical Therapy Assistant · Fresno, CA
Theddy Trece Grumo, PTA is a Physical Therapy Assistant provider in Fresno, CA (NPI 1104452267).
Provider details
- NPI number
- 1104452267
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 50168 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-03-19
- Last updated
- 2020-03-19
- Certified
- 2020-03-19
Frequently asked questions
- What is Theddy Trece Grumo's NPI number?
- Theddy Trece Grumo's National Provider Identifier (NPI) is 1104452267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theddy Trece Grumo's specialty?
- Theddy Trece Grumo is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Theddy Trece Grumo located?
- Theddy Trece Grumo's practice location on file with NPPES is 5555 N Fresno St, Fresno, CA 93710-6006.
- What is Theddy Trece Grumo's phone number?
- The practice phone number listed in the NPPES registry for Theddy Trece Grumo is (559) 430-8211.
- Is Theddy Trece Grumo's NPI active?
- Yes — Theddy Trece Grumo's NPI (1104452267) is active in the NPPES registry as of the last update on 2020-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.