Grace Dougherty Mussetter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008574 Issued in KY

Practice address

530 Fairfield Dr
Louisville, KY 40206-2932

Phone

(502) 415-0446

NPI assigned

Sep 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Grace Anne Dougherty Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Edgewood, KY
  • NPI 1568000727
  NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Prospect, KY
  • NPI 1063014405
  NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1114649043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 FAIRFIELD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062932",
            "telephone_number": "502-415-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FAIRFIELD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062932",
            "telephone_number": "502-415-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSETTER",
        "first_name": "GRACE",
        "middle_name": "DOUGHERTY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "DOUGHERTY",
            "middle_name": "ANNE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mian Mushtaq, M.D.
• Darby Faye Music
• Brittany Musick
• Eric Andrew Mussell, MD, MBA, MS
• Alexander Musser
• Muhammad Talha Mustafa
• Marisa Musto
• Ian Spencer Mutchnick, MD
• Katherine Jean Muterspaw, DO
• Carol L Muth, D.M.D.

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.