MEDICARE: KRISTINA GRASSO PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT017881	OH

General Provider Information

NPI Number	:	1063108215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA GRASSO PT, DPT

Provider Business Mailing Address
First Line	:	33100 CLEVELAND CLINIC BLVD
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-1390
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33100 CLEVELAND CLINIC BLVD
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-1390
Country	:	US
Telephone Number	:	440-695-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2023
Last Update Date	:	04/29/2026

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