Lisa Nicole Grimmer, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT872119 Issued in DC

Practice address

2233 Wisconsin Ave NW Ste 217
Washington, DC 20007-4140

Phone

(202) 333-5252

Fax

(202) 333-1159

NPI assigned

Aug 9, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Elements Center IncorporatedGroup PAC ID 8628108354, 5 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 and National Provider Directory roles.

• Elements Center Incorporated

  • Physical Therapy Clinic/Center
  • Washington, DC
  • NPI 1235453374
  Medicare reassignment Care Compare group NPD
• Elements Fitness and Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Washington, DC
  • NPI 1417195173
  NPD (past)

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1144745217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 N COLONIAL TER APT 403",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222091425",
            "telephone_number": "202-246-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WISCONSIN AVE NW STE 217",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074140",
            "telephone_number": "202-333-5252",
            "fax_number": "202-333-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMMER",
        "first_name": "LISA",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT872119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "PT872119",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monte Grimes
• Patrice Grimes
• Heather Anne Grimm, FNP-BC
• Stephen Edward Grimm III, DDS
• Karl Michael Grimmer Jr., MD
• Gregory A. Grinc, PH.D.
• Janet Grinc, RN, APRN-BC
• Peter Bartholomew Grinc, DDS
• Emma Bizzigotti Grindler, PA-C
• Hannah Rose Grindling, MMSC, CGC

• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.