Kimberly A Grebla, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009184 Issued in CT

Practice address

58 Greenfield Dr
Shelton, CT 06484-5738

Phone

(203) 520-2704

NPI assigned

Apr 11, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Connecticut Orthopaedic Specialists, PC

  • Orthopaedic Surgery Physician
  • Hamden, CT
  • NPI 1235181389

  Physical Therapist

  NPD (past)
• The Orthopaedic and Sports Medicine Center

  • Orthopaedic Surgery Physician
  • Westport, CT
  • NPI 1013468719
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1588920839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 GREENFIELD DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845738",
            "telephone_number": "203-520-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 GREENFIELD DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845738",
            "telephone_number": "203-520-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBLA",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grade a Shop Rite of Shelton LLC (Shoprite Pharmacy)
• Graham-Massey Analytical Labs, Inc.
• Carolyn U Graham, ND
• Amy Grant
• Salvatore Graziano, D.D.S.
• Alana Green, CRNA
• Mary Jane Greenwood, CNM, WHNP-BC, IBCLC
• Melissa Ines Grich, OTR/L
• Kyleen Elizabeth Griffin, LCSW
• Scott S. Grimo, ATC

• Physical Therapist in Shelton, CT
• Providers in Shelton, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.