Active NPI
Jeffrey Robert Grasson, DPT
- Physical Therapist
- Southbury, CT
National Provider Identifier
1306257068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009851
- Practice address
- 80 Heritage Rd
Southbury, CT 06488-1882 - Phone
- (203) 262-6555
- NPI assigned
- May 15, 2014
- Last updated
- May 15, 2014
- Sex
- Male
- 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 | 009851 | CT | Primary |
Addresses
Primary practice location
80 Heritage Rd
Southbury, CT 06488-1882
Mailing address
136 Grannis Rd
Orange, CT 06477-1937
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009851 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1306257068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 GRANNIS RD",
"city": "ORANGE",
"state": "CT",
"postal_code": "064771937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HERITAGE RD",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064881882",
"telephone_number": "203-262-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASSON",
"first_name": "JEFFREY",
"middle_name": "ROBERT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-15",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "009851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.