Individual provider Active NPI

Britni Grenier, PT

  • Physical Therapist
  • Bowie, MD
National Provider Identifier
1962722736
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23285 Issued in MD
Practice address
17000 Science Dr
Suite 104
Bowie, MD 20715-4420
Phone
(301) 860-0237
Fax
(301) 860-0076
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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 23285 MD Primary

Addresses

Primary practice location

17000 Science Dr
Suite 104
Bowie, MD 20715-4420

Mailing address

17000 Science Dr
Suite 104
Bowie, MD 20715-4420
Phone (301) 860-0237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140612000250 MD Practitioner - Physical Therapist in Private Practice 8628192515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revive Physical Therapy LLCGroup PAC ID 0547427627, 6 clinicians

Practice addresses (Care Compare)

10300 Baltimore National Pike
B
Ellicott City, MD 21042-2128
Phone (410) 988-5171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23285MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Physical Therapy LLC CurrentSince Oct 10, 2017 Accepting new patients

Locations

10300 Baltimore National Pike
#Pb
Ellicott City, MD 21042
Phone (410) 988-5171

10300 Baltimore National Pike
#B
Ellicott City, MD 21042
Phone (410) 988-5171

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": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1962722736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 SCIENCE DR",
            "address_2": "SUITE 104",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154420",
            "telephone_number": "301-860-0237",
            "fax_number": "301-860-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 SCIENCE DR",
            "address_2": "SUITE 104",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154420",
            "telephone_number": "301-860-0237",
            "fax_number": "301-860-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENIER",
        "first_name": "BRITNI",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.