Michelle Grinberg, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT029650 Issued in PA

Practice address

1003 Easton Rd
Willow Grove, PA 19090-2027

Phone

(215) 659-7759

NPI assigned

Aug 30, 2021

Sex

Female

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 PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive Health PT LLCGroup PAC ID 5597204099, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Revive Health PT LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1699506733
  Medicare reassignment Care Compare group NPD
• LK Fitness & Therapy

  • Physical Therapy Clinic/Center
  • Warminster, PA
  • NPI 1457859076

  Physical Therapist

  Medicare reassignment NPD
• Willow Grove Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Willow Grove, PA
  • NPI 1083659783

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1508533274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 SUNSET WAY",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067749",
            "telephone_number": "215-866-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902027",
            "telephone_number": "215-659-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINBERG",
        "first_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Goren, MA, LPC
• Brianna Gotwalt
• Wendolyn Ruthe Grace, RN., CRNP.
• Vivian N. Greenberg, M.D.
• Kaitlyn Ann Gresko
• Corey J Grink, D.C.
• Joseph Howard Gronich, MD
• Megan O'Connor Grugan, CRNP
• GS Rehab & Nursing Center LLC
• Sara Guambana, PHARM.D.

• Physical Therapist in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.