Kevin L Gretsky, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

121881 Issued in NY

Practice address

181 Intrepid LN
Brighton Physical Therapy, PLLC
Syracuse, NY 13205-2548

Phone

(315) 558-4907

NPI assigned

Jul 16, 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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Brighton Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Syracuse, NY
  • NPI 1831376623
  Medicare reassignment Authorized official
• Camillus Physical Therapy and Sports Rehabilitation

  • Physical Therapist
  • Camillus, NY
  • NPI 1457461006
  NPD (past)
• Physical Therapy Unlimited of Syracuse PC

  • Physical Therapy Clinic/Center
  • Syracuse, NY
  • NPI 1881680692
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1407873276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 INTREPID LN",
            "address_2": "BRIGHTON PHYSICAL THERAPY, PLLC",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052548",
            "telephone_number": "315-558-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 INTREPID LN",
            "address_2": "BRIGHTON PHYSICAL THERAPY, PLLC",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052548",
            "telephone_number": "315-558-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETSKY",
        "first_name": "KEVIN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "121881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Alan Grella I, RPH
• Megan Gremli
• Ezra Grenade-Caraballo
• Sasha Lakis Grenton
• Gretchen Gretsky, PT
• Heidi Wheeler Greve, LPN
• Simarvir Singh Grewal, MD
• Kyler Grice-Holland
• Pasaka Griciene, M.D.
• Julie A Gridley Crosby, CD

• Physical Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.