Jake Grootenboer, P.T.
NPI 1275201394 · Physical Therapist · Paramus, NJ
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1275201394
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40QA02030000 (NJ)
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 tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
2,281 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 619 | $37 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 601 | $22 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 482 | $28 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 336 | $23 |
| Therapy Procedure in a Group Setting97150 | 198 | $15 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 25 | $106 |
Practice location
Mailing address
Additional practice locations (3)
- 795 Franklin Ave Bldg aFranklin Lakes, NJ 07417-1368Phone: (201) 972-8967Fax: (201) 972-8968
- 50 Craig RdMontvale, NJ 07645-1709Phone: (201) 639-6620Fax: (201) 972-8980
- 650 From Rd Ste 420Paramus, NJ 07652-3551Phone: (201) 639-6620Fax: (201) 972-8980
Registry dates
- Enumerated
- 2021-09-02
- Last updated
- 2024-08-15
- Certified
- 2024-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.