Grayson James Grzegorczyk, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60797093 Issued in WA

Practice address

615 Lilly Rd NE Ste 240
Olympia, WA 98506-5117

Phone

(360) 413-3850

NPI assigned

Nov 21, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapydia of Washington PCGroup PAC ID 9931633492, 22 clinicians

Timberline Rehabilitation Service PSGroup PAC ID 3476641929, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Timberline Rehabilitation Service, PS

  • Physical Therapist
  • Vancouver, WA
  • NPI 1427237619
  Medicare reassignment Care Compare group NPD
• Therapydia of Washington PC

  • Physical Therapist
  • Vancouver, WA
  • NPI 1902643992
  Medicare reassignment Care Compare group
• Mendocino Physical Therapy

  • Physical Therapy Clinic/Center
  • Ukiah, CA
  • NPI 1265155949

  Physical Therapist

  NPD
• Coastal Rehabilitation Inc

  • Physical Therapist
  • Manteo, NC
  • NPI 1346466430
  NPD (past)
• Rise Pacific Physical Therapy and Sports Medicine

  • Physical Therapy Clinic/Center
  • Thousand Oaks, CA
  • NPI 1952855843
  NPD (past)

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1316451776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 BEECH RD",
            "city": "HOPE",
            "state": "MI",
            "postal_code": "486289608",
            "telephone_number": "989-600-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LILLY RD NE STE 240",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065117",
            "telephone_number": "360-413-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZEGORCZYK",
        "first_name": "GRAYSON",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "293863",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60797093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaila Grosso, LMT
• Lauren Groulik
• Ground Zero Outreach a Nonprofit Corporation
• Dagmar Helma Growe, LMP
• Timothy Joseph Grun, RPH
• Teresa Marie Guajardo, MA, LMP, LMHC
• Dexter Lockwood Guddlebrook, MD, MPH
• Becky L Guin
• Kayleen Gulden
• Susan K Gumbo, PHARMD

• Physical Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.