Danielle Grondine, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25515 Issued in MA

Practice address

111 Elm St Ste 103
Worcester, MA 01609-1967

Phone

(508) 799-6538

Fax

(508) 799-5535

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dynamic Physical Therapy Services LLC

  • Physical Therapist
  • Worcester, MA
  • NPI 1801952163
  Medicare reassignment NPD
• Elm Park Physical Therapy LLC

  • Physical Therapist
  • Worcester, MA
  • NPI 1144513144
  NPD (past)

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1033788682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 CENTRAL TPKE",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015902328",
            "telephone_number": "508-450-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELM ST STE 103",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091967",
            "telephone_number": "508-799-6538",
            "fax_number": "508-799-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONDINE",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ellen Grollman, LICSW
• Kerry Mark Grolman, D.D.S.
• Wendy Grolnick, PH.D.
• Robert R Grondin, DPM
• Suzanne Mattos Grondin, DPM
• Morgan Groover
• Tiffany Groover, MD
• Lowell A Gross, DDS
• Patricia K Gross, MS, LMHC
• Mariam Ellen Grossman, PTA

• Physical Therapist in Worcester, MA
• Providers in Worcester, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.