| Shelly Marie Grellmann, DPT | |
|
3205 Woodman Dr, Dayton, OH 45420-1143 | |
| (937) 298-4417 | |
| (937) 298-8260 |
| Full Name | Shelly Marie Grellmann |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3205 Woodman Dr, Dayton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235778556 | NPI | - | NPPES |
| 0007779 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT019701 (Ohio) | Primary |
| 225100000X | Physical Therapist | 5501019417 (Michigan) | Secondary |
| Provider Name | Beacon Orthopaedics & Sports Medicine Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386670065 PECOS PAC ID: 0345136412 Enrollment ID: O20040225000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Marie Grellmann, DPT 6480 Harrison Ave Ste 201, Cincinnati, OH 45247-7961 Ph: (137) 131-7795 | Shelly Marie Grellmann, DPT 3205 Woodman Dr, Dayton, OH 45420-1143 Ph: (937) 298-4417 |
Raina Nicole Barnett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7970 N Main St, Dayton, OH 45415 Phone: 937-660-7076 | |
Camille Rae Bowshier, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4160 Little York Rd, Suite 10, Dayton, OH 45414 Phone: 937-415-9100 Fax: 937-415-9191 | |
Mrs. Susan E Edmondson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Springfield St, Dayton, OH 45431 Phone: 937-236-9965 | |
Kate Elizabeth Wolf, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10560 Success Ln Ste G, Dayton, OH 45458 Phone: 513-225-5371 | |
Haley Petri, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1974 N Fairfield Rd, Dayton, OH 45432 Phone: 937-429-1106 | |
Madison Jayne Lovejoy, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7819 Waynetowne Blvd, Dayton, OH 45424 Phone: 937-938-1583 Fax: 937-938-6723 | |
Mr. Brian P. Ontko, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-9362 |