Individual provider Active NPI

Duane Grell, PT, DPT, CSCS

  • Physical Therapist
  • New York, NY
National Provider Identifier
1801281571
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038449-1 Issued in NY
Practice address
248 W 35TH St
Ground Floor
New York, NY 10001-2505
Phone
(212) 453-0036
Fax
(212) 453-0037
NPI assigned
Mar 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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 038449-1 NY Primary

Addresses

Primary practice location

248 W 35TH St
Ground Floor
New York, NY 10001-2505

Mailing address

1115 Elker Rd
Union, NJ 07083-5006
Phone (646) 671-3365

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203000263 NY Practitioner - Physical Therapist in Private Practice 0840594412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Thrive Integrated Physical Therapy PCGroup PAC ID 9739152935, 10 clinicians

Practice addresses (Care Compare)

594 Broadway
New York, NY 10012-3257
Phone (212) 254-7750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038449-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Integrated Physical Therapy, PC CurrentSince Jul 15, 2024 Accepting new patients

Locations

594 Broadway
Ste 702
New York, NY 10012
Phone (212) 254-7750

Organizations & group practices 1

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1801281571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ELKER RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835006",
            "telephone_number": "646-671-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 W 35TH ST",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012505",
            "telephone_number": "212-453-0036",
            "fax_number": "212-453-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRELL",
        "first_name": "DUANE",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038449-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.