Individual provider Active NPI

Rachel Ann Grimmett, PT, DPT

  • Physical Therapist
  • Texarkana, TX
National Provider Identifier
1013434943
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1296939 Issued in TX
Practice address
2918 Pleasant Grove Rd
Texarkana, TX 75503-0064
Phone
(903) 628-1214
Fax
(903) 347-2255
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1296939 TX Primary

Addresses

Primary practice location

2918 Pleasant Grove Rd
Texarkana, TX 75503-0064

Mailing address

2918 Pleasant Grove Rd
Texarkana, TX 75503-0064
Phone (903) 628-1214

Other practice location 1

3515 Richmond Rd
Texarkana, TX 75503-0711
Phone (903) 791-9355

Other practice location 2

5610 Richmond Rd
Texarkana, TX 75503-0500
Phone (903) 791-9355

Other names 1

  • Rachel Ann Seals Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171007000064 TX Practitioner - Physical Therapist in Private Practice 0345515938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Rehab Staffing, LLCGroup PAC ID 6305203548, 3 clinicians

Practice addresses (Care Compare)

2918 Pleasant Grove Rd
Texarkana, TX 75503-0064
Phone (903) 628-1214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1296939TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearson Pediatric OT Services Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Southern Rehab Staffing, LLC Physical Therapist CurrentSince Jan 13, 2023 Accepting new patients

Locations

3718 Summerhill Rd
Texarkana, TX 75503
Phone (903) 793-6135

2918 Pleasant Grove Rd
Texarkana, TX 75503
Phone (903) 628-1214

4824 McKnight Rd
Texarkana, TX 75503
Phone (903) 614-5800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1013434943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 PLEASANT GROVE RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030064",
            "telephone_number": "903-628-1214",
            "fax_number": "903-347-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 PLEASANT GROVE RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030064",
            "telephone_number": "903-628-1214",
            "fax_number": "903-347-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3515 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755030711",
            "country_code": "US",
            "telephone_number": "903-791-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5610 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755030500",
            "country_code": "US",
            "telephone_number": "903-791-9355",
            "fax_number": "855-218-5819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMMETT",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1296939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SEALS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.