Danielle Griscom, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01774200 Issued in NJ

Practice address

118 Outwater LN
Garfield, NJ 07026-2629

Phone

(973) 955-2190

NPI assigned

Apr 23, 2018

Last updated

Apr 23, 2018By the provider in NPPES

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boston Associates Rehabilitation LLCGroup PAC ID 7618073016, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boston Associates Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Carneys Point, NJ
  • NPI 1912037482

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1093203309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GEORGIA RD",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702450",
            "telephone_number": "856-275-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 OUTWATER LN",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070262629",
            "telephone_number": "973-955-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISCOM",
        "first_name": "DANIELLE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01774200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armine Anna Gasparyan
• Golden Care Pharmacy (Golden Healthcare Pharmacy)
• Camilo Gonzalez
• Angelice Grasso
• Greater Bergen Community Action
• Group Therapy Central LLC
• Aisha Guarino, PHARMD
• Hanna First Care Inc (Midland Pharmacy Dept)
• Marian Hanna
• Lesia Hawroniak

• Physical Therapist in Garfield, NJ
• Providers in Garfield, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.