Active NPI
Ronnabelle Berdos Grasso, PT, DPT
- Physical Therapist
- Monroe, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18152
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 397730041 | Other | NC | NSC # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029956 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Physical Therapist | Current | Accepting new patients |
| Orthocarolina | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Winston Salem, NC
- NPI 1205894029
Physical Therapist
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.