Individual provider Active NPI

Jesse Grembowiec, DPT

  • Physical Therapist
  • Red Lion, PA
National Provider Identifier
1245845171
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028679 Issued in PA
Practice address
3212 Cape Horn Road
Unit 2
Red Lion, PA 17356-9073
Phone
(717) 220-8286
Fax
(717) 344-5186
NPI assigned
Sep 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 PT028679 PA Primary

Addresses

Primary practice location

3212 Cape Horn Road
Unit 2
Red Lion, PA 17356-9073

Mailing address

4750 Lindle Road
Suite 100
Harrisburg, PA 17111-2428
Phone (717) 803-3342

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929000005 PA Practitioner - Physical Therapist in Private Practice 2365861168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHM Physical Therapy Institute LLCGroup PAC ID 2062873151, 76 clinicians

Practice addresses (Care Compare)

3212 Cape Horn Rd
Unit 2
Red Lion, PA 17356-9073
Phone (717) 220-8266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 31, 2020 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 31, 2020 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4750 Lindle Rd
Ste 100
Harrisburg, PA 17111
Phone (717) 803-3342

3212 Cape Horn Rd
#2
Red Lion, PA 17356
Phone (717) 220-8266

492 N Main St
Red Lion, PA 17356
Phone (717) 417-5606

558 Shrewsbury Commons Ave
Shrewsbury, PA 17361
Phone (717) 803-3344

Organizations & group practices 5

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": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1245845171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 LINDLE ROAD",
            "address_2": "SUITE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112428",
            "telephone_number": "717-803-3342",
            "fax_number": "717-974-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 CAPE HORN ROAD",
            "address_2": "UNIT 2",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569073",
            "telephone_number": "717-220-8286",
            "fax_number": "717-344-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMBOWIEC",
        "first_name": "JESSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Lion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.