Todd Michael Grim, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21685 Issued in MD

Practice address

431 E Ridgeville Blvd
Mount Airy, MD 21771-5217

Phone

(301) 829-6811

NPI assigned

Jan 18, 2007

Last updated

Mar 15, 2017By 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 5

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maryland Sportscare & Rehab LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1518951995

  DC

  Medicare reassignment Care Compare group NPD
• Maryland Sportscare & Rehab, LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1720445174
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1700938610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FAIRMOUNT AVE",
            "address_2": "STE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865494",
            "telephone_number": "410-927-8768",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E RIDGEVILLE BLVD",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715217",
            "telephone_number": "301-829-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIM",
        "first_name": "TODD",
        "middle_name": "MICHAEL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7914198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "2160584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2160584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MARYLAND",
            "identifier": "917546-01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE/GHMSI",
            "identifier": "T208",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaliyah Elaine Goldizen
• Peyton Elyse Golueke
• Brittany Gordon
• Robert Gralley, LGPC
• Allison Brooks Green, DDS
• Crisanto Talpa Guillermo, PT
• Ellen Kristen Gustafson, DPT
• Guy Cappuccino, MD LLC
• Suhad (Sue) S Haddad, PHD, LCPC, NCC
• Stephanie Hamilton, DPT

• Physical Therapist in Mount Airy, MD
• Providers in Mount Airy, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.