Individual provider Active NPI

Danielle Reilly Grisolano, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1760219950
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019321 Issued in CO
Practice address
495 Uinta Way Ste 110
Denver, CO 80230-7198
Phone
(303) 856-3299
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 PTL.0019321 CO Primary

Addresses

Primary practice location

495 Uinta Way Ste 110
Denver, CO 80230-7198

Mailing address

1531 Stout St Unit 411
Denver, CO 80202-3240

Other practice location 1

1531 Stout St Unit 411
Denver, CO 80202-3240
Phone (816) 288-4872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010001235 CO Practitioner - Physical Therapist in Private Practice 4587196928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile High Physical Therapy, LLCGroup PAC ID 0941277305, 4 clinicians

Practice addresses (Care Compare)

495 Uinta Way
Suite 110
Denver, CO 80230-7198
Phone (303) 856-3299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Synergy Manual Physical Therapy, PC Physical Therapist Past Accepting new patients

Locations

495 Uinta Way
Ste 110
Denver, CO 80230
Phone (303) 856-3299

Organizations & group practices 2

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": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1760219950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 STOUT ST UNIT 411",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 UINTA WAY STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307198",
            "telephone_number": "303-856-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1531 Stout St Unit 411",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802023240",
            "country_code": "US",
            "telephone_number": "816-288-4872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISOLANO",
        "first_name": "DANIELLE",
        "middle_name": "REILLY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.