GRACE REHAB INC. NPI 1679388359

NPI Information

  • NPI: 1679388359
  • Provider Name: GRACE REHAB, INC.
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 624 KRONA DR STE 110
    PLANO, TX
    ZIP 75074
  • Phone: (409) 626-1491

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NPI Details

GRACE REHAB, INC. is a prosthetic orthotic supplier in Plano, TX. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. GRACE REHAB, INC. NPI is 1679388359. The provider is registered as an organization entity type.

The provider's business location address is:

624 KRONA DR STE 110
PLANO, TX
ZIP 75074-325
Phone: (409) 626-1491

The provider's authorized official is Spencer John Smith .
The authorized official title is Chief Operations Officer and has the following contact phone number (469) 989-8283.

The enumeration date for this NPI number is 2/10/2025 and was last updated on 2/10/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1177478802MEDICAIDTEXAS

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: 3/30/2025

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