| Mr Matthew William Grimm, PT | |
|
11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 | |
| (704) 316-4443 | |
| (704) 316-4444 |
| Full Name | Mr Matthew William Grimm |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 11840 Southmore Dr, Charlotte, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255359287 | NPI | - | NPPES |
| 650D116650 | Other | MI | BCBS |
| 1255359287 | Other | MI | NPI |
| PENDING | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501012853 (Michigan) | Secondary |
| 225100000X | Physical Therapist | P14088 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew William Grimm, PT Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 316-4443 | Mr Matthew William Grimm, PT 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 Ph: (704) 316-4443 |
Karan Bobby Johar, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 3800 Shamrock Dr, Charlotte, NC 28215 Phone: 704-532-7000 | |
Jessica Huschart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2382 | |
Victoria Parish Reynolds, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15825 Ballantyne Medical Pl Ste 120, Charlotte, NC 28277 Phone: 704-323-3409 | |
Activade Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 Woodruff Pl, Charlotte, NC 28208 Phone: 704-839-2019 | |
Gelt Haridhas Pushpa, Physical Therapist Medicare: Medicare Enrolled Practice Location: 445 S Kings Dr, Charlotte, NC 28204 Phone: 704-384-1737 | |
Reyna Yuritzia Fox, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3442 Cypress Club Dr, Charlotte, NC 28210 Phone: 704-714-5500 | |
Ashley F Volpenhein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7422 Lancer Dr, Charlotte, NC 28226 Phone: 704-307-0897 |