Organization Active NPI

Sustaining Grace Physiotherapy, LLC

  • Physical Therapy Clinic/Center
  • Orange Beach, AL
National Provider Identifier
1073452983
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SUSTAINING GRACE PHYSIOTHERAPY, LLC
Practice address
23769 Conifer CT
Orange Beach, AL 36561-5228
Phone
(225) 931-4718
NPI assigned
Mar 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Leslie Niederriter, PT, DPTNPI 1376814244
Title
Owner
Phone
(225) 931-4718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

23769 Conifer CT
Orange Beach, AL 36561-5228

Mailing address

23769 Conifer CT
Orange Beach, AL 36561-5228
Phone (225) 931-4718

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260624004659 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375016934 Receives reassigned benefits from 1 practitioner
Practice locations: Orange Beach, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1073452983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23769 CONIFER CT",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365615228",
            "telephone_number": "225-931-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23769 CONIFER CT",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365615228",
            "telephone_number": "225-931-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTAINING GRACE PHYSIOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "NIEDERRITER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-931-4718",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Beach, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.