Individual provider Active NPI

Grace Gremillion Harrison, PT, DPT, MBA

  • Physical Therapist
  • Hendersonville, TN
National Provider Identifier
1063189058
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13698 Issued in TN
Practice address
139 Maple Row Blvd Ste 300
Hendersonville, TN 37075-4487
Phone
(615) 826-7113
Fax
(615) 826-7139
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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 13698 TN Primary

Addresses

Primary practice location

139 Maple Row Blvd Ste 300
Hendersonville, TN 37075-4487

Mailing address

139 Maple Row Blvd Ste 300
Hendersonville, TN 37075-4487
Phone (615) 826-7113

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.therapycenterhendersonville.com/ Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250210000983 TN Practitioner - Physical Therapist in Private Practice 0749710556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy Center of Hendersonville Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

139 Maple Row Blvd
Ste 300
Hendersonvlle, TN 37075
Phone (615) 826-7113

Organizations & group practices 1

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1063189058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 MAPLE ROW BLVD STE 300",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754487",
            "telephone_number": "615-826-7113",
            "fax_number": "615-826-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MAPLE ROW BLVD STE 300",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754487",
            "telephone_number": "615-826-7113",
            "fax_number": "615-826-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "GRACE",
        "middle_name": "GREMILLION",
        "credential": "PT, DPT, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.therapycenterhendersonville.com/",
            "affiliation": "N",
            "endpointDescription": "The Therapy Center of Hendersonville URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "139 Maple Row Blvd Ste 300",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370754487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.