GRACE PHYSICAL THERAPY, LLC (NPI# 1114256534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114256534 |
| Entity Type | Organization |
| Organization Name | GRACE PHYSICAL THERAPY, LLC |
| Practice Address |
2201 Charles St Suite 105 Fredericksburg VA 22401-3378 |
| Practice Telephone | 5408996863 |
| Practice Fax Number | 5408996865 |
| Mailing Telephone | 5408996863 |
| Mailing Fax Number | 5408996865 |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |
| Authorized Official Name | MR. CARL FRANCIS BRUNO (OWNER/DIRECTOR) |
| Authorized Official Telephone | 5408996863 |
| Authorized Official Credential | P. T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2305004860 | VA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356544415 | Grace Physical Therapy, LLC | Physical Therapist | 440 Unit D Old Trolley Road, Summerville, SC 29485 | 2007-06-07 |
| 1467724609 | Grace Physical Therapy, LLC | Physical Therapist | 8175 W 20th Ave, Lakewood, CO 80214-5500 | 2012-02-03 |
| Street Address |
2201 CHARLES ST SUITE 105 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386633907 | Andre Eglevsky | Orthopaedic Surgery | 2201 Charles St, Fredericksburg, VA 22401-3378 | 2005-10-17 |
| 1386815876 | Payne Family Medicine Inc | Family Medicine | 2201 Charles St, Suite 102, Fredericksburg, VA 22401-3378 | 2008-03-12 |
| 1154502763 | Grace Physical Therapy, PC | Physical Therapist | 2201 Charles St, Suite 105, Fredericksburg, VA 22401-3378 | 2007-11-26 |
| 1518903038 | The Center for Orthopedics, Inc. | Orthopaedic Surgery | 2201 Charles St, Fredericksburg, VA 22401-3378 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964599 | Mary Washington Healthcare Clinical Services Inc | Clinic/Center | 10 Stafford Lakes Pkwy, Suite 100, Fredericksburg, VA 22406 | 2020-02-14 |
| 1861882664 | Ability Physical Therapy and Wellness | Clinic/Center | 55 Lorenzo Dr, Fredericksburg, VA 22405-3609 | 2015-01-31 |
| 1821498569 | Global Health | Clinic/Center | 810 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2014-08-31 |
| 1376807065 | College Sports Rehab | Clinic/Center | 1301 College Ave, Goolrick Hall Athletic Training Room (room 102), Fredericksburg, VA 22401-5300 | 2012-06-27 |
| 1891817938 | Premier Physical Therapy | Clinic/Center | 6330 Five Mile Centre Park, #406, Fredericksburg, VA 22407-5516 | 2007-04-06 |
| 1255342093 | Cole Physical Therapy Inc | Clinic/Center | 1316 S State Highway 16, Fredericksburg, TX 78624-5058 | 2006-08-10 |
| 1013940311 | Integrated Health PC | Clinic/Center | 421 Park Hill Dr, Fredericksburg, VA 22401-3376 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194332 | The Royalty Treatment LLC | Clinic/Center | 14413 Huntgate Woods Rd, Midlothian, VA 23112-4362 | 2020-11-02 |
| 1245838754 | Camille Louise Ronesi | Clinic/Center | 8910 Patterson Ave, Richmond, VA 23229-6324 | 2020-10-16 |
| 1790399400 | Wholehealthpt LLC | Clinic/Center | 800 John Carlyle St Apt 124, Alexandria, VA 22314-6844 | 2020-09-01 |
| 1487265401 | Erin Chapman Dpt | Clinic/Center | 10 Seminole Trl, Palmyra, VA 22963-3157 | 2020-08-13 |
| 1831709500 | The Balance Center, LLC | Clinic/Center | 4002 Millcreek Dr, Annandale, VA 22003-2334 | 2020-08-06 |
| 1013527381 | Movement Is Medicine Physical Therapy and Sports Performance | Clinic/Center | 508 Connecticut Ave, Norfolk, VA 23508-2706 | 2020-08-03 |
| 1003426297 | Bal Therapy LLC | Clinic/Center | 4514 36th St S Apt B1, Arlington, VA 22206-1855 | 2020-08-03 |
| 1154948933 | My Pt and Pilates Inc | Clinic/Center | 6706 Red Jacket Rd, Springfield, VA 22152-2633 | 2020-06-29 |
| 1871117705 | Level Up Physical Therapy | Clinic/Center | 1625 Maiden Ln, Charlottesville, VA 22911-7509 | 2020-06-06 |
| 1942824297 | Heitmann Physical Therapy and Wellness | Clinic/Center | 6008 Sunset Ridge Ct, Centreville, VA 20121-3051 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on GRACE PHYSICAL THERAPY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.