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

Mr. Grant Panzella, PT, DPT, ATC

Individual provider Athletic Trainer · NPI 1306215835

Mr. Grant Panzella, PT, DPT, ATC is an Athletic Trainer in Caledonia, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
Specialties on file
3
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.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

11917 Lerwick Rd
Caledonia, IL 61011-9781
Phone: (815) 914-6650
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.026061 (IL)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306215835
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , ATC
Sole proprietorNo
NPI enumeratedSeptember 15, 2015
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021

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