Grazen Corporation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GRAZEN CORPORATION

Practice address

90 Wall St Ste 100
Madison, CT 06443-3128

Phone

(475) 522-6030

Fax

(866) 265-2985

NPI assigned

May 29, 2025

Organization subpart

No

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

Authorized official

Name

John Robert Grazen

Title

Owner / Ceo

Phone

(860) 876-3981

Specialties & licenses 1

Addresses

Other names 1

• Fyzical Therapy and Balance Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Autumn Katz, OTR/L

  • Occupational Therapist
  • Cromwell, CT
  • NPI 1144950023
  Medicare reassignment Care Compare group NPD
• Taylor Mayberry

  • Physical Therapist
  • North Charleston, SC
  • NPI 1407539604

  CT

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1497648679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WALL ST STE 100",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433128",
            "telephone_number": "475-522-6030",
            "fax_number": "866-265-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WALL ST STE 100",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433128",
            "telephone_number": "475-522-6030",
            "fax_number": "866-265-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAZEN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "GRAZEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "860-876-3981"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Therapy and Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim Allison Gordon, M.S.W.
• Barbara Redfield Gosin-Lynch
• Kerry E. Graham, LPC
• Joseph Grato
• Avery Grauer, M.D.
• Irma Grebel, LCSW
• Martin Grebel, PH.D.
• Donald Richard Greene, MD
• Barbara Greenspan, PSYD
• Meri Lee Greenwald, PT

• Physical Therapy Clinic/Center in Madison, CT
• Providers in Madison, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.