Individual provider Active NPI

Jeremy Grisel, P.T.

  • Physical Therapist
  • Lufkin, TX
National Provider Identifier
1497776009
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
TX1143659 Issued in TX
Practice address
211 S Timberland Dr
Lufkin, TX 75901-4065
Phone
(936) 632-5511
Fax
(936) 632-5633
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TX1143659 TX Primary

Addresses

Primary practice location

211 S Timberland Dr
Lufkin, TX 75901-4065

Mailing address

211 S Timberland Dr
Lufkin, TX 75901-4065
Phone (936) 632-5511

Other identifiers 1

IdentifierTypeStateIssuer
8T0598OtherTXBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713003873 TX Practitioner - Physical Therapist in Private Practice 3173420155 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dandd Sports Med Aubrey, LLCGroup PAC ID 6901980838, 7 clinicians

Practice addresses (Care Compare)

26875 US Hwy 380 E
Suite 124
Aubrey, TX 76227
Phone (972) 347-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX1143659TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzical Therapy and Balance Centers- Plano LLC Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients
D&D Sports Med Aubrey, LLC Physical Therapist CurrentSince Aug 28, 2024 Accepting new patients
D&D Sports Med Sanger, LLC Physical Therapist CurrentSince Aug 28, 2024 Accepting new patients
Sports Med Denton LLC Physical Therapist CurrentSince Aug 28, 2024 Accepting new patients
Regional Physical Therapy Center Limited Partnership Past Accepting new patients
Richard D Thrasher III MD PA PastSince Jul 27, 2023 Accepting new patients
Regional Physical Therapy Center Limited Partnership Physical Therapist Past Accepting new patients

Locations

510 W Main St
#B
Canfield, OH 44406
Phone (330) 301-4762

26875 US Highway 380 E
Ste 124
Aubrey, TX 76227
Phone (972) 347-6000

2318 San Jacinto Blvd
Ste 108
Denton, TX 76205
Phone (940) 202-0281

5804 Coit Rd
Ste 108
Plano, TX 75023
Phone (312) 799-9949

1650 W Chapman Dr
Ste 400
Sanger, TX 76266
Phone (940) 458-2611

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1497776009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S TIMBERLAND DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759014065",
            "telephone_number": "936-632-5511",
            "fax_number": "936-632-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S TIMBERLAND DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759014065",
            "telephone_number": "936-632-5511",
            "fax_number": "936-632-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISEL",
        "first_name": "JEREMY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "TX1143659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8T0598",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.