Gracie Davis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

119858 Issued in TX

Practice address

10640 N Riverside Dr Ste 200
Fort Worth, TX 76244-9506

Phone

(817) 431-9000

NPI assigned

Oct 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gracie Harris Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Beelieve Pediatric Therapy Clinic LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1598185985
  NPD (past)

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1093431587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 N RIVERSIDE DR STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449506",
            "telephone_number": "817-431-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 N RIVERSIDE DR STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449506",
            "telephone_number": "817-431-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 Hulen St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761077277",
            "country_code": "US",
            "telephone_number": "817-569-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Larson Ln",
            "address_purpose": "LOCATION",
            "city": "Aledo",
            "state": "TX",
            "postal_code": "760084589",
            "country_code": "US",
            "telephone_number": "181-743-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GRACIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY",
            "identifier": "119858",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.beelievepediatrictherapy.com",
            "affiliation": "N",
            "address_1": "10640 N Riverside Dr Ste 200",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762449506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.beelievepediatrictherapy.com",
            "affiliation": "N",
            "address_1": "111 Larson Ln",
            "city": "Aledo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760084589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GRACIE",
            "last_name": "HARRIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darrica Racquel Davis, AGPCNP
• Delaney Anne Davis
• Demetria M Davis, LVN
• Dustin Davis, FNP-C
• Emily Jane Davis, DDS
• Gretchen Davis
• Haley Davis, SLP
• Hannah Doreen Davis, PA-C
• Heather Nicole Davis, APRN
• James Gregory Davis, MA

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.