Earl Laurence Grine Jr., PT, MSPT, ATC, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305202763 Issued in VA

Practice address

11800 Sunrise Valley Dr
100
Reston, VA 20191

Phone

(703) 709-1116

Fax

(703) 709-5134

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Miami, LM Miller School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Virginia Therapy and Fitness CenterGroup PAC ID 3072680628, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Virginia Therapy & Fitness Center

  • Physical Therapy Clinic/Center
  • Reston, VA
  • NPI 1093887390

  DC

  Medicare reassignment Care Compare group
• The Jackson Clinics LLC

  • Physical Therapist
  • Middleburg, VA
  • NPI 1427034982
  NPD (past)
• Virginia Spine Institute PLC

  • Orthopaedic Surgery of the Spine Physician
  • Reston, VA
  • NPI 1356435580
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346323474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 AUTUMNWOOD DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201941522",
            "telephone_number": "703-437-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SUNRISE VALLEY DR",
            "address_2": "100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20191",
            "telephone_number": "703-709-1116",
            "fax_number": "703-709-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINE",
        "first_name": "EARL",
        "middle_name": "LAURENCE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT, MSPT,  ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "604546000",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "172810",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheebani Bathija Grewal, OD
• Emily Anne Griffin, NP-C
• Jacqueline D. Griffiths, MD
• Logan Griffiths, PA-C
• Amy Griffo, LPC
• Thomas Nolan Groff, FNP-BC
• Kristin Amiraian Grohs, MSPT
• Heather S Groves, P.A.
• Susmitha Gudipudi
• Rachel Guetlein, LPC

• Physical Therapist in Reston, VA
• Providers in Reston, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.