Provider Demographics
NPI:1053209221
Name:SILVESTRI, GRANT (PT)
Entity type:Individual
Prefix:
First Name:GRANT
Middle Name:
Last Name:SILVESTRI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15521 MIDLOTHIAN TPKE STE 301
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-7313
Mailing Address - Country:US
Mailing Address - Phone:804-464-2323
Mailing Address - Fax:804-464-2313
Practice Address - Street 1:3413 COX RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-2001
Practice Address - Country:US
Practice Address - Phone:804-729-4117
Practice Address - Fax:804-729-4194
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA2305217195225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist