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

Gregg Inocencio

Individual provider Physical Therapist · NPI 1730519638

Gregg Inocencio is a Physical Therapist in Private Practice in Salisbury, Maryland. Qualified in 2013, 13 years ago. Practices with Tyre Physical Therapy and Performance LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Delaware and Maryland.

Years since qualifying
13
Licensed in
DE, MD
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

1409 S Salisbury Blvd Untis C & D
Salisbury, MD 21801-7151
Phone: (667) 330-1061
Fax: (410) 334-3730
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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 24804 (MD)
Physical Therapist Taxonomy 225100000X · Licence J1-0003104 (DE)

Record details

NPI number1730519638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 14, 2013
Last updated in NPPESJanuary 22, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Tyre Physical Therapy And Performance Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Salisbury