Michael Grenda, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P11054 Issued in NC

Practice address

13655 Providence Rd
Weddington, NC 28104-9373

Phone

(704) 246-7050

Fax

(704) 246-7544

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Grenda Group LLCGroup PAC ID 2860635109, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Grenda Group LLC

  • Physical Therapist
  • Weddington, NC
  • NPI 1912343765

  NC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Steele Creek Physical Therapy & Balance Center Inc

  • Physical Therapist
  • Charlotte, NC
  • NPI 1164508032
  NPD
• Weddington Chiropractic Wellness Center

  • Nutrition Chiropractor
  • Weddington, NC
  • NPI 1245256841
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1295952703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13655 PROVIDENCE RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281049373",
            "telephone_number": "704-246-7050",
            "fax_number": "704-246-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13655 PROVIDENCE RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281049373",
            "telephone_number": "704-246-7050",
            "fax_number": "704-246-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENDA",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elios Anesthesiology Group, PA
• Jamie Nicole Elwell, DPT
• Henry Ronald Emery Jr., M.D.
• Elen Gay, DPT
• Tejaswi Gosu
• Meredith Alison Griggs, PT, DPT
• Jeffrey Andrew Hamilton, DPT
• Susan East Hutaff, M.S., CCC-SLP
• Heather Braswell Hyslep, DPT, LAT, ATC
• Faiza Jama, PHARMD

• All providers in Weddington, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.