Jeremy Gryder, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 010004 Issued in OH

Practice address

3787 Woodridge Blvd.
Fairfield, OH 45014

Phone

(513) 874-1999

Fax

(513) 874-1653

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oxford Physical Therapy and Rehabilitation

  • Physical Therapist
  • Mason, OH
  • NPI 1326126061
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518045293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 STONEGATE DRIVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45255",
            "telephone_number": "513-474-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3787 WOODRIDGE BLVD.",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "45014",
            "telephone_number": "513-874-1999",
            "fax_number": "513-874-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYDER",
        "first_name": "JEREMY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 010004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0214940",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Charles Grevey, M.D.
• Kelly Grimes
• Mel Keith Gross, AU.D.
• Lea Rae Grosvenor, LCDC III
• Monica Grubb
• George Edward Guju Jr., AGACNP
• John Wathan Gullett II, M.D.
• Pamela Anita Gulley, ED.D.
• Hope Gunter
• Joeanne Gutzwiller, PH.D.

• Physical Therapist in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.