Individual provider Active NPI

Matthew Grigg

  • Physical Therapist
  • Clarksburg, MD
National Provider Identifier
1952137192
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43809 Issued in FL
Practice address
22750 Newcut Rd Ste D-1a
Clarksburg, MD 20871-5333
Phone
(301) 250-2146
NPI assigned
Sep 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 PT43809 FL Primary

Addresses

Primary practice location

22750 Newcut Rd Ste D-1a
Clarksburg, MD 20871-5333

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241002001095 DC Practitioner - Physical Therapist in Private Practice 5294266243 Reassigns benefits to 1 organization
I20251104000375 FL Practitioner - Physical Therapist in Private Practice 5294266243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30159MDMDClinical Social Worker
PT43809FLMDPhysical Therapist

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Fitness Quest - Venice LLC Physical Therapist CurrentSince Sep 16, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 17, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 17, 2024 Accepting new patients
Fitness Quest - Venice LLC CurrentSince Sep 16, 2025 Accepting new patients

Locations

3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020

2530 Bobcat Village Center Rd
Unit C
North Port, FL 34288
Phone (941) 426-7400

400 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (877) 469-3778

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

22750 Newcut Rd
Ste D1
Clarksburg, MD 20871
Phone (301) 250-2146

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 14

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.

View all 14

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLC 440 clinicians
Fitness Quest - Venice LLC 44 clinicians

Practice addresses (Care Compare)

22750 Newcut Rd
Suite D1
Clarksburg, MD 20871-5334
Phone (301) 250-2146

2530 Bobcat Village Ctr Rd
Unit C
North Port, FL 34288-8475
Phone (941) 426-7400

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1952137192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22750 NEWCUT RD STE D-1A",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208715333",
            "telephone_number": "301-250-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGG",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-13",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.