MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST) – Physical Therapist, NPI 1619974508

MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST) is a healthcare provider. based in Paducah, Kentucky. specializing in Physical Therapist. They hold the professional credentials PHYSICAL THERAPIST. They hold a License No. 003235 (KY). The NPI Number for MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST) is 1619974508

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST)
NPI
1619974508
Phone
(270) 443-0681
Address
5050B VILLAGE SQUARE DR
Enumeration Date
7 July 2005
Last Update Date
4 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2705274322
Graduation Year
1997 (29 years ago)
PAC ID
6002977626
Group Practice PAC ID
0941523245
Professional Enrollment ID
I20081201000631
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST)

  • 5050B VILLAGE SQUARE DR

    PADUCAH, KY 420019499

    Phone: (270) 443-0681

    Fax: (270) 442-9748

    Type: Location

  • Mohawk, Benton County, Oregon, United States

    BENTON, KY 420256948

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081201000631IPhysical Therapist In Private PracticeKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42001)

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Provider's Procedures

MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYKY97001Physical therapy evaluation9486
PHYSICAL THERAPYKY97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1976107

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941523245View full group profile
NameSpecialtyState
-KY
-TN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
-PA
-KY
-KY
Physical Therapist In Private PracticeGA
-IL

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Frequently asked questions

What is the standard ID for MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST) in the U.S.?
In the U.S., MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST) is identified by NPI 1619974508.
Does the public listing show MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST) as active?
MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST)'s NPI record reflects an active status in NPPES.
What type of care does MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST) provide?
MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST)?
The directory associates MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST) with Paducah, Kentucky. Check all listed addresses for suites or satellite offices.
Why is information missing for MRS. AMY GABRIELLE GRIZZARD (PHYSICAL THERAPIST)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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