Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grayling Ellis Harrison Jr.

Individual provider Physical Therapist · NPI 1720656960

Grayling Ellis Harrison Jr. is a Physical Therapist in Private Practice in Millersville, Maryland. Qualified in 2021, 5 years ago. Practices with Maryland Luna Care Physical Therapy LLC, a 124-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2021
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Practice location Address checks out

611 Waterwheel Ln
Millersville, MD 21108-2330
Phone: (443) 469-1140
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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 28447 (MD)

Record details

NPI number1720656960
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESAugust 1, 2024
Certification dateFebruary 8, 2023
Mailing address611 Waterwheel Ln Apt 14, Millersville, MD 21108-2331

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Maryland Luna Care Physical Therapy Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Millersville