Individual provider Active NPI

Terrence Brian Grywinski, LICENSED MASSAGE THE

  • Mechanotherapist
  • Sarasota, FL
National Provider Identifier
1851067599
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA6049 Issued in FL
Practice address
1188 N Tamiami TRL
Sarasota, FL 34236-2414
Phone
(941) 321-8757
NPI assigned
Aug 23, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA6049 FL Primary

Addresses

Primary practice location

1188 N Tamiami TRL
Sarasota, FL 34236-2414

Mailing address

6419 Meandering Way
Lakewood Ranch, FL 34202-1864
Phone (941) 321-8757

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA6049FLMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1851067599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 MEANDERING WAY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342021864",
            "telephone_number": "941-321-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 N TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362414",
            "telephone_number": "941-321-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYWINSKI",
        "first_name": "TERRENCE",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LICENSED MASSAGE THE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA6049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.