Individual provider Active NPI

Lawrence M Grello, M.S.P.T.

  • Physical Therapist
  • King of Prussia, PA
National Provider Identifier
1184694564
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013857L Issued in PA
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

Updated by the provider on Aug 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20041110000186 PA Practitioner - Physical Therapist in Private Practice 2668435215 Reassigns benefits to 1 organization

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
Integrated Physical Therapy, LLCGroup PAC ID 9032172689, 14 clinicians

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

LicenseStateTypeSpecialty
DAPT000658PAMDPhysical Therapist
PT013857LPAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Physical Therapy, LLC Physical Therapist CurrentSince Sep 15, 2004 Accepting new patients
Patch Technique PLLC CurrentSince Apr 23, 2023 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.

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.

Verify at the official NPI Registry.