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GRACE PHYSICAL THERAPY PC NPI 1154502763


NPI Information

NPI: 1154502763
Provider Name: GRACE PHYSICAL THERAPY, PC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
2201 CHARLES ST
SUITE 105
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 899-6863
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GRACE PHYSICAL THERAPY, PC is an orthopedic physical therapist in Fredericksburg, VA. The provider is 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. GRACE PHYSICAL THERAPY, PC NPI is 1154502763. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2201 CHARLES ST
SUITE 105
FREDERICKSBURG, VA
ZIP 22401-378
Phone: (540) 899-6863

The provider's authorized official is Carl Francis Bruno .
The authorized official title is Owner/director and has the following contact phone number (540) 899-6863.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 12/1/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedic2305004860VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C08607MEDICARE PINVIRGINIA
2C10765MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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