Grace Physical Therapy and Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GRACE PHYSICAL THERAPY AND WELLNESS

Practice address

2218 Ridgedale Dr
Arlington, TX 76013-5423

Phone

(401) 206-5685

Fax

(469) 281-0484

NPI assigned

Nov 2, 2020

Organization subpart

No

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

Authorized official

Name

Caitlin M Kelley, PTNPI 1467005637

Title

Owner

Phone

(817) 683-8081

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caitlin Marie Kelley, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1467005637
  NPD Authorized official

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1073114609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 RIDGEDALE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135423",
            "telephone_number": "401-206-5685",
            "fax_number": "469-281-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 RIDGEDALE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135423",
            "telephone_number": "401-206-5685",
            "fax_number": "469-281-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-683-8081",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Michelle Gottlieb
• David C Gouldy, D.O.
• Brittney Govender, PT, DPT
• Gareth Rogers Govender, PHYSICAL THERAPIST
• GP Health Clinic, PLLC
• Grace Psychological Health Services, PLLC
• Grace RX Staffing and Home Health Care Services
• Michael A Graceffo, MD
• Graceful Empowerment Family Counseling
• Graceful Journey Counseling Services

• Physical Therapy Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.