DR. ROSS KAELUND GRANDERSON PT, DPT - NPI 1659269157 - Physical Therapist in Decatur, GA

Q: What is Ross Granderson's NPI number?

The NPI number for Ross Granderson is 1659269157. It was assigned to this individual provider in the NPPES registry on June 25, 2025.

Q: What is Ross Granderson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Ross Granderson was last updated on June 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Ross Kaelund Granderson Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROSS KAELUND GRANDERSON PT, DPT (NPI 1659269157) is an individual orthopedic provider in Decatur, Georgia, licensed in Georgia (PT017748) and active in the NPI registry since June 2025. He is a graduate of University Of Tennessee, Hsc, College Of Medicine (2022).

NPPES Registry Identity

NPI1659269157

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameDR. ROSS KAELUND GRANDERSONCredential: PT, DPT

Location Address2712 N DECATUR RDDecatur, GA 30033-5910

Mailing Address1829 Mount Royal Dr NeAtlanta, GA 30329-2544 · (901) 734-2656

Phone(770) 491-3003

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2022

Enumeration DateJune 25, 2025

NPPES CertifiedJune 25, 2025

✔ NPI 1659269157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in GA · PT017748

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

2712 N DECATUR RD, Decatur, GA 30033

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ross Kaelund Granderson Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052809100

PECOS Enrollment IDI20251021004807

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY ROBERT BOTSTEIN M.D.

Internal Medicine (Rheumatology)