Active NPI
Jeremy Grisel, P.T.
- Physical Therapist
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- TX1143659
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T0598 | Other | TX | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| TX1143659 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fyzical Therapy and Balance Centers- Plano LLC | Physical Therapist | Current | Accepting new patients |
| D&D Sports Med Aubrey, LLC | Physical Therapist | Current | Accepting new patients |
| D&D Sports Med Sanger, LLC | Physical Therapist | Current | Accepting new patients |
| Sports Med Denton LLC | Physical Therapist | Current | Accepting new patients |
| Regional Physical Therapy Center Limited Partnership | Past | Accepting new patients | |
| Richard D Thrasher III MD PA | Past | 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.
-
- Physical Therapist
- Aubrey, TX
- NPI 1407043292
-
- Physical Therapy Clinic/Center
- Sanger, TX
- NPI 1154366458
Physical Therapist, TX
-
- Physical Therapist
- Plano, TX
- NPI 1790343077
-
- Physical Therapy Clinic/Center
- Denton, TX
- NPI 1225073521
Physical Therapist, TX
-
- Durable Medical Equipment & Medical Supplies
- Lufkin, TX
- NPI 1255546602
-
- Physical Therapy Clinic/Center
- Lufkin, TX
- NPI 1679663348
Physical Therapist
-
- Otolaryngology Physician
- McKinney, TX
- NPI 1720273287
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.