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

Ryan Grandolfo Grandolfo

Individual provider Physical Therapist · NPI 1447103130

Ryan Grandolfo Grandolfo is a Physical Therapist in Private Practice in Laurel, Maryland. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
1
Licensed in
MD
In the registry since
2026

Practice location Address checks out

14405 Laurel Pl Ste 102
Laurel, MD 20707-6102
Phone: (301) 498-1604
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 30772 (MD)

Record details

NPI number1447103130
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 20, 2026
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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