| The Grenda Group Llc | |
|
13655 Providence Rd, Weddington, NC 28104-9373 | |
| (803) 325-4528 | |
| Not Available |
| Full Name | The Grenda Group Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 13655 Providence Rd, Weddington, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912343765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P11054 (North Carolina) | Primary |
| Provider Name | Michael Grenda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295952703 PECOS PAC ID: 3072751148 Enrollment ID: I20130531000038 |
| Provider Name | Jeffrey Hamilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366997934 PECOS PAC ID: 6305120528 Enrollment ID: I20170307000151 |
| Provider Name | Heather Braswell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356889935 PECOS PAC ID: 4789954041 Enrollment ID: I20170719000488 |
| Provider Name | Matthew Page |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528692613 PECOS PAC ID: 3870921968 Enrollment ID: I20200324002261 |
| Provider Name | Jamie Nicole Elwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225620990 PECOS PAC ID: 5496160194 Enrollment ID: I20210210001241 |
| Provider Name | Alexis Nottage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003544891 PECOS PAC ID: 1254717119 Enrollment ID: I20220929001083 |
| Provider Name | Stacey Sykes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255702304 PECOS PAC ID: 5698075273 Enrollment ID: I20240116004200 |
| Provider Name | Rebecca Jean Brewer Rothera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649080177 PECOS PAC ID: 1052832649 Enrollment ID: I20250312000676 |
| Mailing Address | Practice Location Address |
|---|---|
| The Grenda Group Llc 13655 Providence Rd, Weddington, NC 28104-9373 Ph: () - | The Grenda Group Llc 13655 Providence Rd, Weddington, NC 28104-9373 Ph: (803) 325-4528 |
Elen Gay, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13655 Providence Rd, Weddington, NC 28104 Phone: 704-246-7050 | |
Dr. Jamie Nicole Elwell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13655 Providence Rd, Weddington, NC 28104 Phone: 704-246-7050 | |
Courtney Allison Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13655 Providence Rd, Weddington, NC 28104 Phone: 704-246-7050 | |
Michael Grenda, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13655 Providence Rd, Weddington, NC 28104 Phone: 704-246-7050 Fax: 704-246-7544 | |
Heather Braswell Hyslep, DPT, LAT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13655 Providence Rd, Weddington, NC 28104 Phone: 704-246-7050 | |
Dr. Jeffrey Andrew Hamilton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13655 Providence Rd, Weddington, NC 28104 Phone: 704-246-7050 Fax: 704-246-7544 | |
Matthew Page, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13655 Providence Rd, Weddington, NC 28104 Phone: 704-246-7050 |