Individual provider Active NPI

Nanette Jai Griesi, PT

  • Physical Therapist
  • Chesapeake, VA
National Provider Identifier
1053751446
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305204019 Issued in VA
Practice address
933 Cedar Rd
Chesapeake, VA 23322-7415
Phone
(757) 803-6257
NPI assigned
Jun 28, 2013
Last updated
Jun 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305204019 VA Primary

Addresses

Primary practice location

933 Cedar Rd
Chesapeake, VA 23322-7415

Mailing address

802 Keeling Dr
Chesapeake, VA 23322-6202
Phone (757) 803-6257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240815000130 DC Practitioner - Physical Therapist in Private Practice 4981142460 Reassigns benefits to 2 organizations
I20250401000486 VA Practitioner - Physical Therapist in Private Practice 4981142460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services LLCGroup PAC ID 1355347410, 304 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

3925 Downs Dr
Chantilly, VA 20151-3308
Phone (703) 810-3992

933 Cedar Rd
Chesapeake, VA 23322-7415
Phone (757) 436-1176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jul 24, 2024 Accepting new patients
Legacy Healthcare Services, Inc Physical Therapist Current Accepting new patients
Legacy Healthcare Services, Inc. Physical Therapist CurrentSince Jul 24, 2024 Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jan 19, 2025 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1053751446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 KEELING DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226202",
            "telephone_number": "757-803-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 CEDAR RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227415",
            "telephone_number": "757-803-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESI",
        "first_name": "NANETTE",
        "middle_name": "JAI",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.