Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Damon John Grandy, PT, DPT

Individual provider Physical Therapist · NPI 1023350865

Dr. Damon John Grandy, PT, DPT is a Physical Therapist in Private Practice in Prescott, Arizona. Qualified in 2009, 17 years ago. Practices with Arizona Orthopedic Physical Therapy PLLC, a 23-clinician group and accepts Medicare assignment. Licensed in Alabama, Arizona, Hawaii and Idaho and 3 more.

Years since qualifying
17
Licensed in
AL, AZ, HI, ID, MO, NM
In the registry since
2013
Specialties on file
7
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3117 Stillwater Dr
Prescott, AZ 86305-7164
Phone: (928) 442-0005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 9200 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 2009024412 (MO)
Physical Therapist Taxonomy 225100000X · Licence PTH6368 (AL)
Physical Therapist Taxonomy 225100000X · Licence 3588 (HI)
Physical Therapist Taxonomy 225100000X · Licence PT-3025 (ID)
Physical Therapist Taxonomy 225100000X · Licence PT-1455 (WY)
Physical Therapist Taxonomy 225100000X · Licence 4147 (NM)

Record details

NPI number1023350865
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMarch 19, 2013
Last updated in NPPESMarch 19, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Arizona Orthopedic Physical Therapy Pllc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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