Xavier Grisham
NPI 1669163218ActiveIndividual· Physical Therapist· Antioch, TN
Physical Therapist in Antioch, Tennessee, trained at East Tennessee State University Quillen College of Medicine (class of 2022). Medicare paid $15,077 for services to 41 patients in 2024.
Overview
| NPI | 1669163218 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 16, 2023 |
| Last updated in NPPES | May 16, 2023 |
| Certified by provider | May 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 14772 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 790 across 9 procedure codes |
| Paid by Medicare | $15,077 |
Education and affiliations
| Medical school | East Tennessee State University Quillen College of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Results-Ast Jv LLCFranklin, TN · 383 clinicians
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