Individual provider Active NPI

Grishma Raval, PT

  • Physical Therapist
  • Levittown, PA
National Provider Identifier
1164293239
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT033854 Issued in PA
Practice address
1609 Woodbourne Rd Ste 203B
Levittown, PA 19057-1538
Phone
(215) 945-0100
Fax
(215) 945-0103
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 PT033854 PA Primary

Addresses

Primary practice location

1609 Woodbourne Rd Ste 203B
Levittown, PA 19057-1538

Mailing address

1609 Woodbourne Rd Ste 203B
Levittown, PA 19057-1538
Phone (215) 945-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260109001102 PA Practitioner - Physical Therapist in Private Practice 1951887983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiomove LLCGroup PAC ID 4183854888, 3 clinicians

Practice addresses (Care Compare)

1609 Woodbourne Rd
Suite 203B
Levittown, PA 19057-1538
Phone (215) 945-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT033854PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiomove LLC CurrentSince Nov 1, 2025 Accepting new patients
Physiomove LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

1609 Woodbourne Rd
Ste 203B
Levittown, PA 19057
Phone (215) 269-0400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1164293239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 WOODBOURNE RD STE 203B",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571538",
            "telephone_number": "215-945-0100",
            "fax_number": "215-945-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 WOODBOURNE RD STE 203B",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571538",
            "telephone_number": "215-945-0100",
            "fax_number": "215-945-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAL",
        "first_name": "GRISHMA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.