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

Ivy Morgan Grenier, PTA

Individual provider Physical Therapy Assistant · NPI 1174388904

Ivy Morgan Grenier, PTA is an Undefined Non-Physician Type (Specify) in Charlestown, New Hampshire. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in New Hampshire.

Years since qualifying
6
Licensed in
NH
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

169 Main St Apt 3A
Charlestown, NH 03603-4925
Phone: (603) 558-2638
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1428 (NH)

Record details

NPI number1174388904
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedFebruary 20, 2024
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

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

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare