Individual provider Active NPI

Gary D Grieger, MPT

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1598089138
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.012195 Issued in OH
Practice address
6495 E Broad St
Suite E/F
Columbus, OH 43213
Phone
(877) 511-9739
Fax
(419) 745-8819
NPI assigned
Mar 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT.012195 OH Primary

Addresses

Primary practice location

6495 E Broad St
Suite E/F
Columbus, OH 43213

Mailing address

5640 Southwyck Blvd
Suite 1H
Toledo, OH 43614
Phone (877) 511-9739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.012195OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hallett Enterprises, LLC Physical Therapist Past Accepting new patients
Hallett Enterprises, LLC Physical Therapist Past Accepting new patients
Sandusky Wellness DME LLC PastSince Jun 20, 2012 Accepting new patients

Organizations & group practices 3

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": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1598089138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 SOUTHWYCK BLVD",
            "address_2": "SUITE 1H",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43614",
            "telephone_number": "877-511-9739",
            "fax_number": "419-745-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 E BROAD ST",
            "address_2": "SUITE E/F",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "877-511-9739",
            "fax_number": "419-745-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEGER",
        "first_name": "GARY",
        "middle_name": "D",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.012195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.