Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1902881402 Deactivated / Inactive NPI Male Practitioner

Jack L Grimm , PT

Physical Therapist • Springfield, OH

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jack Grimm has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 07, 2005
NPI Deactivation Date June 04, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Jack Grimm, PT was a registered Physical Therapist practicing in Springfield, OH. Throughout an active medical career spanning 21 years, Jack Grimm provided care at the practice location at 2221 GRUBE ST until profile deactivation on 2026-06-04.

Practice Location & Contact Primary Location

Practice Address

2221 Grube St

Springfield, OH 455032642

Telephone 9373998941
Fax 9373995639
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Springfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
31 Specialists

Practicing in Springfield, OH (7455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License OH 9554

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Jordan Noyes , DPT

Physical Medicine & Rehabilitation

NPI 1083235899

Doctor of Physical Therapy

Jennifer Roller , MPT

Physical Therapist

NPI 1306054358

Master of Physical Therapy

Marilyn Crossley

Speech-Language Pathologist

NPI 1366086811
Gail Button

Occupational Therapist

NPI 1407477227
Michael Dodaro , PT

Physical Therapist

NPI 1457336950

Physical Therapist

Jennifer Tyson

Speech-Language Pathologist

NPI 1508480039

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 04, 2026

Record deactivated on June 04, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2221 GRUBE ST, SPRINGFIELD, OH 455032642 (Tel: 9373998941)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2221 GRUBE ST, SPRINGFIELD, OH 455032642 (Tel: 9373998941)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK GRIMM, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physical Therapist (License #9554 in OH)

🟢
Initial NPI Registration & Enumeration December 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jack Grimm. Be the first to share your experience!

Sign in to leave a review for Jack Grimm

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1902881402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2005
Last Update: July 08, 2007
Deactivation Date: June 04, 2026

Mailing Address

2221 Grube St

Springfield, OH 455032642

Phone: 9373998941

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.