Jeni Grandelski, DPT
Individual provider Active NPI Physical Therapist · Plainfield, CT
NPI 1144600628 · NPPES record last updated Jun 1, 2015
Key facts
- NPI
- 1144600628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 7354 (SC)
- Practice address
- 16 Windsor Ave
Plainfield, CT 06374-1036 - Phone
- (860) 564-4081
- NPI assigned
- Jun 1, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7354 | SC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7354 | SC | Yes |
Addresses
Primary practice location
16 Windsor Ave
Plainfield, CT 06374-1036
Mailing address
16 Windsor Ave
Plainfield, CT 06374-1036
Phone (860) 564-4081
Other providers in Plainfield, CT
- Genesis Health Care
- Genesis Healthcare
- Genesis Rehab Services
- Gina Tourangeau, Ms, LPC, Cac
- Maria A Gorby
- Amanda Gremo
- Wagdy M Habashy
- Vickie M Hall
- Healthcall Medical Center,LLC
- Helping Hands Transportation LLC
All providers in Plainfield, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.