Individual provider Active NPI

Dennis J Grandic I, PT

  • Orthopedic Physical Therapist
  • Alexandria, VA
National Provider Identifier
1508191560
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305210108 Issued in VA
Practice address
6355 Walker LN
Suite 512
Alexandria, VA 22310-3245
Phone
(855) 546-0726
Fax
(703) 822-9955
NPI assigned
Oct 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT24546 FL
Orthopedic Physical Therapist 2251X0800X 2305210108 VA Primary

Addresses

Primary practice location

6355 Walker LN
Suite 512
Alexandria, VA 22310-3245

Mailing address

2402 NW 6TH St
Boynton Beach, FL 33426-8754
Phone (917) 566-0158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251029004676 DC Practitioner - Physical Therapist in Private Practice 1759425374 Reassigns benefits to 1 organization
I20260422000417 VA Practitioner - Physical Therapist in Private Practice 1759425374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Luna Care Physical Therapy LLCGroup PAC ID 0941615405, 89 clinicians

Practice addresses (Care Compare)

3712 Linda LN
Annandale, VA 22003-1510
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT24546FLMDOrthopedic Physical Therapist
2305210108VAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Luna Care Physical Therapy LLC Orthopedic CurrentSince Oct 17, 2025 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159

Organizations & group practices 5

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": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1508191560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 NW 6TH ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268754",
            "telephone_number": "917-566-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN",
            "address_2": "SUITE 512",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103245",
            "telephone_number": "855-546-0726",
            "fax_number": "703-822-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDIC",
        "first_name": "DENNIS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-08",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT24546",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305210108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.