Grayling Ellis Harrison Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28447 Issued in MD

Practice address

611 Waterwheel LN
Millersville, MD 21108-2330

Phone

(443) 469-1140

NPI assigned

Jun 15, 2021

Last updated

Aug 1, 2024By 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

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 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.

• Above the Reason Physical Therapy, LLC

  • Physical Therapist
  • Millersville, MD
  • NPI 1780337626
  Medicare reassignment Authorized official
• Maryland Luna Care Physical Therapy LLC

  • Physical Therapist
  • Chevy Chase, MD
  • NPI 1083340988

  DC

  Medicare reassignment Care Compare group
• Medstar Health Physical Therapy at Home, LLC.

  • Rehabilitation Clinic/Center
  • Columbia, MD
  • NPI 1891472684

  Physical Therapist

  Medicare reassignment NPD
• Physical Therapy First, LLC

  • Point of Service
  • Baltimore, MD
  • NPI 1528240850
  Medicare reassignment NPD
• LHMG Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Annapolis, MD
  • NPI 1396122842
  Medicare reassignment
• LHMG Physical Therapy, LLC

  dba AAMG Physical Therapy Cape St. Claire

  • Physical Therapist
  • Annapolis, MD
  • NPI 1134763212
  NPD
• LHMG Physical Therapy, LLC

  • Physical Therapist
  • Severna Park, MD
  • NPI 1467942847
  NPD
• Medstar Health Physical Therapy at Home, LLC.

  • Physical Therapist
  • Washington, DC
  • NPI 1811683923
  NPD
• Agape Physical Therapy & Sports Rehabilitation Limited Partnership

  • Physical Therapist
  • Hanover, MD
  • NPI 1891575155
  NPD (past)
• Agape Physical Therapy & Sports Rehabilitation LP

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1578900668
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1720656960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WATERWHEEL LN APT 14",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082331",
            "telephone_number": "443-469-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WATERWHEEL LN",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082330",
            "telephone_number": "443-469-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "GRAYLING",
        "middle_name": "ELLIS",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-08-01",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND PT LICENSE #",
            "identifier": "28447",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Tyler Hall
• Andrea Hamilton, LGPC
• Harbour House, Inc
• Harbour House, Inc
• Anthony Terrell Hardnett, D.C.
• Nicole Diane Harrison, LMSW
• Latoya Harvey
• Joel Harry Hassman, M.D.
• Healing Wellness Massage LLC
• Summer Hecht, LCSW-C

• Physical Therapist in Millersville, MD
• Providers in Millersville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.