Individual provider Active NPI

Ronnabelle Berdos Grasso, PT, DPT

  • Physical Therapist
  • Monroe, NC
National Provider Identifier
1922456912
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18152 Issued in NC
Practice address
703 Comfort LN
Monroe, NC 28112-5684
Phone
(704) 323-2650
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P18152 NC Primary
Physical Therapist 225100000X 029956 NY

Addresses

Primary practice location

703 Comfort LN
Monroe, NC 28112-5684

Mailing address

PO Box 601791
Charlotte, NC 28260-1791

Other practice location 1

327 Route 59
Airmont, NY 10952-3420
Phone (845) 356-1877

Other practice location 2

2400 W Mallard Creek Church Rd
Charlotte, NC 28262-2324
Phone (704) 323-2108

Other identifiers 1

IdentifierTypeStateIssuer
397730041OtherNCNSC #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211013000733 NC Practitioner - Physical Therapist in Private Practice 2769774082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029956NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Orthocarolina Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Foundation Health Systems LLC Physical Therapist Past Accepting new patients

Locations

2400 W Mallard Creek Church Rd
Charlotte, NC 28262
Phone (704) 323-2090

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

703 Comfort Ln
Monroe, NC 28112
Phone (704) 226-9550

Organizations & group practices 3

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1922456912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 COMFORT LN",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125684",
            "telephone_number": "704-323-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Route 59",
            "address_purpose": "LOCATION",
            "city": "Airmont",
            "state": "NY",
            "postal_code": "109523420",
            "country_code": "US",
            "telephone_number": "845-356-1877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 W Mallard Creek Church Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282622324",
            "country_code": "US",
            "telephone_number": "704-323-2108",
            "fax_number": "704-323-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRASSO",
        "first_name": "RONNABELLE",
        "middle_name": "BERDOS",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18152",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029956",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC #",
            "identifier": "397730041",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.