Active NPI
Gabriella Grezzi
- Physical Therapist
- Braintree, MA
National Provider Identifier
1205564770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26295
- Practice address
- 501 John Mahar Hwy Ste 100
Braintree, MA 02184-6563 - Phone
- (781) 214-1717
- Fax
- (339) 201-3374
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26295 | MA | Primary |
Addresses
Primary practice location
501 John Mahar Hwy Ste 100
Braintree, MA 02184-6563
Mailing address
501 John Mahar Hwy Ste 100
Braintree, MA 02184-6563
Phone (781) 214-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26295 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Fern Practice, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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
- Providence, RI
- NPI 1851472914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1205564770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 JOHN MAHAR HWY STE 100",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021846563",
"telephone_number": "781-214-1717",
"fax_number": "339-201-3374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 JOHN MAHAR HWY STE 100",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021846563",
"telephone_number": "781-214-1717",
"fax_number": "339-201-3374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREZZI",
"first_name": "GABRIELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "26295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.