Ryan Grandolfo Grandolfo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30772 Issued in MD

Practice address

14405 Laurel PL Ste 102
Laurel, MD 20707-6102

Phone

(301) 498-1604

NPI assigned

Feb 20, 2026

Last updated

Feb 20, 2026By the provider in NPPES

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 DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Physical Therapy Services, LLC

  • Physical Therapist
  • Laurel, MD
  • NPI 1225217334

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1447103130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10218 CAMELFORD CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 LAUREL PL STE 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076102",
            "telephone_number": "301-498-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDOLFO",
        "first_name": "RYAN",
        "middle_name": "GRANDOLFO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hina Rani Goyal, DDS
• Grace Carries Wellness Collaborative and Consulting
• Gracious Guidance (Gracious Guidance Counseling)
• Gracious Psychiatric Healthcare Services
• Robert Francis Gradishar, DDS
• Anna Grant
• Takiesa Grant, L.AC.
• Banae Graves
• Gravity Health Care, LLC
• Brianna Gray

• Physical Therapist in Laurel, MD
• Providers in Laurel, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.