Active NPIIndividual providerSole proprietor

Ivy M Grenier, PTA

Physical Therapy Assistant in Charlestown, New Hampshire

NPI Number1174388904
Practice location
169 Main St Apt 3A, Charlestown, NH 03603-4925
Fax
—
Last updated
December 22, 2025

Ivy Morgan Grenier is a Physical Therapy Assistant based in Charlestown, NH. Ivy Morgan Grenier practices in Charlestown, NH and has the professional credentials of PTA. The NPI Number for Ivy Morgan Grenier is 1174388904 and holds a License No. 1428 (NH). The current practice location address for Ivy Morgan Grenier is 169 Main St Apt 3A, Charlestown, NH 03603-4925 and can be reached out via phone at 603-558-2638.

Provider Profile Details

NPI Number
1174388904
Provider Name
Ivy Morgan Grenier
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
169 Main St Apt 3A, Charlestown, NH 03603-4925
Phone Number
603-558-2638
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Other Names
Ivy Simoneau, PTA (Other Name)
Provider Enumeration Date
February 20, 2024
Last Update Date
December 22, 2025
Certification Date
December 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
169 Main St Apt 3A
Charlestown, NH 03603-4925
Zip
03603-4925
Phone Number
603-558-2638
Charlestown, NH 03603Get directions →

Provider Business Mailing Address Details

Address
Po Box 291
Charlestown, NH 03603-0291
City
Charlestown
State
NH
Zip
03603-0291
Phone Number
603-558-2638

License Information

License Number
1428
License State
NH
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ivy M Grenier, PTA?

The NPI number of Ivy M Grenier, PTA is 1174388904. It was assigned on February 20, 2024 and is currently active in the NPPES registry.

What is the specialty of Ivy M Grenier, PTA?

Ivy M Grenier, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NH under license number 1428.

Where does Ivy M Grenier, PTA practice?

The practice location is 169 Main St Apt 3A, Charlestown, NH 03603-4925. The office can be reached at 603-558-2638 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174388904 directly on the NPPES registry website.

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