JEANNETTE ELAINE GRACE (NPI# 1114903192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114903192 |
| Entity Type | Individual |
| Full Name | JEANNETTE ELAINE GRACE |
| Credential | P.T. |
| Practice Address |
795 Farmers Ln Suite 10 Santa Rosa CA 95405-6718 |
| Practice Telephone | 7075717615 |
| Practice Fax Number | 7075718601 |
| Mailing Telephone | 7075717615 |
| Mailing Fax Number | 7075718601 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT21833 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
795 FARMERS LN SUITE 10 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-6718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982689675 | Stithem & Johnson Physical Therapy, Inc. | Clinic/Center | 795 Farmers Ln, Santa Rosa, CA 95405-6718 | 2005-12-14 |
| 1568693315 | The Swain Center, Inc | Speech-Language Pathologist | 795 Farmers Ln, Suite 23, Santa Rosa, CA 95405-6718 | 2009-07-28 |
| 1932275260 | Robert Bernard Leavitt | Physical Therapist | 795 Farmers Ln, Ste 10, Santa Rosa, CA 95405-6718 | 2006-11-28 |
| 1043386220 | Misty Renae Black | Physical Therapist | 795 Farmers Ln, Ste 10, Santa Rosa, CA 95405-6718 | 2006-11-28 |
| 1619953841 | Corinne Teresa Williams | Physical Therapy Assistant | 795 Farmers Ln, Suite 10, Santa Rosa, CA 95405-6718 | 2005-12-20 |
| 1124004429 | John Daniel Stithem | Physical Therapist | 795 Farmers Ln, Sutie 10, Santa Rosa, CA 95405-6718 | 2005-12-19 |
| 1144206442 | Robin Lynne Samay | Physical Therapist | 795 Farmers Ln, Suite 10, Santa Rosa, CA 95405-6718 | 2005-12-19 |
| 1679559363 | Kelly Marie Stempe | Physical Therapist | 795 Farmers Ln, Suite 10, Santa Rosa, CA 95405-6718 | 2005-12-15 |
| 1134105851 | Andrew Garrett Hughey | Physical Therapist | 795 Farmers Ln, Sutie 10, Santa Rosa, CA 95405-6718 | 2005-12-15 |
| 1093791717 | Guy Stephan Mohr | Physical Therapist | 795 Farmers Ln, Suite 10, Santa Rosa, CA 95405-6718 | 2005-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518500446 | John Steven Eccles | Physical Therapist | 34 Mark West Springs Rd, Santa Rosa, CA 95403-1766 | 2019-10-23 |
| 1912138686 | Marianne Rene Potts | Physical Therapist | 1400 N Dutton Ave Ste 1, Santa Rosa, CA 95401-7120 | 2009-07-29 |
| 1003429267 | Nicholas Pasadis | Physical Therapist | 1400 N Dutton Ave Ste 1, Santa Rosa, CA 95401-7120 | 2020-08-27 |
| 1063858470 | Flourish Physical Therapy, Inc | Physical Therapist | 95 Montgomery Dr, Suite 90, Santa Rosa, CA 95404-6630 | 2013-05-13 |
| 1508156548 | David Christopher Harvitz | Physical Therapist | 2798 Yulupa Ave, Suite #1, Santa Rosa, CA 95405-8570 | 2011-04-11 |
| 1033343140 | Shirley Ann Cook | Physical Therapist | 1400 N Dutton Ave, Suite1, Santa Rosa, CA 95401-4657 | 2009-05-05 |
| 1962681940 | Thomas Perry Blechel | Physical Therapist | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | 2007-10-26 |
| 1124004429 | John Daniel Stithem | Physical Therapist | 795 Farmers Ln, Sutie 10, Santa Rosa, CA 95405-6718 | 2005-12-19 |
| 1144206442 | Robin Lynne Samay | Physical Therapist | 795 Farmers Ln, Suite 10, Santa Rosa, CA 95405-6718 | 2005-12-19 |
| 1679559363 | Kelly Marie Stempe | Physical Therapist | 795 Farmers Ln, Suite 10, Santa Rosa, CA 95405-6718 | 2005-12-15 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on JEANNETTE ELAINE GRACE.
| 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.