Individual provider Active NPI

George L Gradwell Jr., PT, DPT

  • Physical Therapist
  • Chalfont, PA
National Provider Identifier
1023747730
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030590 Issued in PA
Practice address
1500 Horizon Dr Ste 102E
Chalfont, PA 18914-3966
Phone
(215) 712-0300
NPI assigned
Jun 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT030590 PA Primary
Physical Therapist 225100000X 2305215874 VA

Addresses

Primary practice location

1500 Horizon Dr Ste 102E
Chalfont, PA 18914-3966

Mailing address

PO Box 411503
Boston, MA 02241-1503
Phone (914) 294-4050

Other practice location 1

200 N Glebe Rd Ste Gr2
Arlington, VA 22203-3755
Phone (703) 527-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220912000062 PA Practitioner - Physical Therapist in Private Practice 9335524404 Reassigns benefits to 1 organization
I20240325001709 DC Practitioner - Physical Therapist in Private Practice 9335524404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLC 216 clinicians

Practice addresses (Care Compare)

200 N Glebe Rd
Suite GR2
Arlington, VA 22203-3755
Phone (703) 527-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305215874VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jan 30, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jan 30, 2024 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Aug 5, 2022 Accepting new patients
Progress Physical Therapy LLC Physical Therapist PastSince Jun 29, 2025 Accepting new patients

Locations

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

1500 Horizon Dr
Ste 102E
Chalfont, PA 18914
Phone (215) 712-0300

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

200 N Glebe Rd
Ste GR2
Arlington, VA 22203
Phone (703) 243-1300

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1023747730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411503",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HORIZON DR STE 102E",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143966",
            "telephone_number": "215-712-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Glebe Rd Ste Gr2",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222033755",
            "country_code": "US",
            "telephone_number": "703-527-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADWELL",
        "first_name": "GEORGE",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030590",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.