Jaclyn Grenier, DPT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

PT023884 Issued in PA

Practice address

414 Paoli Pike
Malvern, PA 19355-3311

Phone

(484) 596-5758

NPI assigned

Jul 15, 2020

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1548878580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 STONEYBROOK DR",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PAOLI PIKE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553311",
            "telephone_number": "484-596-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENIER",
        "first_name": "JACLYN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "PA",
            "license": "PT023884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT023884",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great Valley School District
• James Greco, PHARMD, R.PH.
• Green Oak Wellness
• Lauren Elizabeth Greenhalgh, OTR/L
• Dana Greenlee, MS, LPC
• Charles N Griffen Jr., OD
• Kraig Randolph Gualtieri, PT,MSPT
• Sarah Guido
• GVM-US Inc. (GrandBaxter Healthcare Inc.)
• Gynecology and Menopause Center LTD

• Neurology Physical Therapist in Malvern, PA
• Providers in Malvern, PA by specialty
• Neurology Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.