Individual provider Active NPI

Melanie Anne Grebeleski, PT

  • Physical Therapist
  • Towson, MD
National Provider Identifier
1174193239
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28455 Issued in MD
Practice address
8322 Bellona Ave Ste 100
Towson, MD 21204-2065
Phone
(410) 337-8847
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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 28455 MD Primary

Addresses

Primary practice location

8322 Bellona Ave Ste 100
Towson, MD 21204-2065

Mailing address

125 Holly Cir
Essex, MD 21221-1927

Other names 1

  • Melanie Anne Garrison Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802003587 MD Practitioner - Physical Therapist in Private Practice 5294139077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8322 Bellona Ave
Suite 100
Towson, MD 21204-2065
Phone (410) 337-8847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28455MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Medical Regional Professional Services, LLC Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients
University of Maryland Medical Regional Professional Services, LLC Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients

Locations

9110 Philadelphia Rd
Ste 314
Rosedale, MD 21237
Phone (410) 616-1401

8322 Bellona Ave
Rm 100
Towson, MD 21204
Phone (410) 337-7900

7801 York Rd
Ste 140
Towson, MD 21204
Phone (410) 337-4024

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1174193239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HOLLY CIR",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212211927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042065",
            "telephone_number": "410-337-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBELESKI",
        "first_name": "MELANIE",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "GARRISON",
            "middle_name": "ANNE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.