Active NPI
Lawrence M Grello, M.S.P.T.
- Physical Therapist
- King of Prussia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013857L
- Practice address
- 211 South Gulph Rd
Suite 300
King of Prussia, PA 19406-4201 - Phone
- (610) 265-2230
- Fax
- (610) 265-2240
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013857L | PA | Primary |
| Physical Therapist | 225100000X | DAPT000658 | PA | |
| Sports Physical Therapist | 2251S0007X | PT013857L | PA | |
| Sports Physical Therapist | 2251S0007X | DAPT000658 | PA | |
| Orthopedic Physical Therapist | 2251X0800X | PT013857L | PA | |
| Orthopedic Physical Therapist | 2251X0800X | DAPT000658 | PA |
Addresses
Primary practice location
211 South Gulph Rd
Suite 300
King of Prussia, PA 19406-4201
Mailing address
211 South Gulph Rd
Suite 300
King of Prussia, PA 19406-4201
Phone (610) 265-2230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
855 Springdale Dr
Suite 110
Exton, PA 19341-2858
Phone (484) 874-2130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DAPT000658 | PA | MD | Physical Therapist |
| PT013857L | PA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Patch Technique PLLC | Current | Accepting new patients |
Locations
940 E Haverford Rd
Ste 200
Bryn Mawr, PA 19010
Phone (610) 527-0178
855 Springdale Dr
Ste 110
Exton, PA 19341
Phone (484) 874-2130
211 S Gulph Rd
Ste 300
King of Prussia, PA 19406
Phone (610) 265-2230
357 S Gulph Rd
Ste 310
Kng of Prussa, PA 19406
Phone (610) 265-2230
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.
-
- Physical Therapist
- King of Prussia, PA
- NPI 1841375086
-
- Chiropractor
- King of Prussia, PA
- NPI 1750816351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1184694564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SOUTH GULPH RD",
"address_2": "SUITE 300",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064201",
"telephone_number": "610-265-2230",
"fax_number": "610-265-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 SOUTH GULPH RD",
"address_2": "SUITE 300",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064201",
"telephone_number": "610-265-2230",
"fax_number": "610-265-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRELLO",
"first_name": "LAWRENCE",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT013857L",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "DAPT000658",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "PA",
"license": "PT013857L",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "PA",
"license": "DAPT000658",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT013857L",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "DAPT000658",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.