Individual provider Active NPI

Shelly Marie Grellmann, DPT

  • Physical Therapist
  • Dayton, OH
National Provider Identifier
1235778556
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019701 Issued in OH
Practice address
1 Reynolds Way
Dayton, OH 45430-1586
Phone
(937) 485-9401
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501019417 MI
Physical Therapist 225100000X PT019701 OH Primary

Addresses

Primary practice location

1 Reynolds Way
Dayton, OH 45430-1586

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (137) 131-7795

Other practice location 1

824 Murlin Ave
Celina, OH 45822-2459
Phone (419) 584-7111

Other identifiers 1

IdentifierTypeStateIssuer
0007779MedicaidOH

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

LicenseStateTypeSpecialty
5501019417MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut General Life Insurance Company (Cglic) Past Accepting new patients
Quad/Med, LLC Past Accepting new patients
Connecticut General Life Insurance Company (Cglic) Past Accepting new patients
Quad/Med, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shelly.grellman.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 4

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1235778556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "137-131-7795",
            "fax_number": "513-854-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 REYNOLDS WAY",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454301586",
            "telephone_number": "937-485-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "824 Murlin Ave",
            "address_purpose": "LOCATION",
            "city": "Celina",
            "state": "OH",
            "postal_code": "458222459",
            "country_code": "US",
            "telephone_number": "419-584-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRELLMANN",
        "first_name": "SHELLY",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019417",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007779",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.