Active NPI
Jeannette Elaine Grace, P.T.
- Orthopedic Physical Therapist
- Santa Rosa, CA
National Provider Identifier
1114903192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT21833
- Practice address
- 795 Farmers LN
Suite 10
Santa Rosa, CA 95405-6718 - Phone
- (707) 571-7615
- Fax
- (707) 571-8601
- NPI assigned
- Dec 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT21833 | CA | Primary |
Addresses
Primary practice location
795 Farmers LN
Suite 10
Santa Rosa, CA 95405-6718
Mailing address
795 Farmers LN
Suite 10
Santa Rosa, CA 95405-6718
Phone (707) 571-7615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 N Dutton Ave
Suite 1
Santa Rosa, CA 95401-7120
Phone (707) 523-2848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT21833 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stithem & Johnson Physical Therapy Inc. | Orthopedic | Past | Accepting new patients |
| Stithem & Johnson Physical Therapy, Inc. | Orthopedic | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Physical Therapist
- Santa Rosa, CA
- NPI 1720707136
-
- Physical Therapist
- Santa Rosa, CA
- NPI 1780767541
-
- Physical Therapy Clinic/Center
- Santa Rosa, CA
- NPI 1831386838
Orthopedic
-
- Physical Therapy Clinic/Center
- Santa Rosa, CA
- NPI 1982689675
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114903192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 FARMERS LN",
"address_2": "SUITE 10",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954056718",
"telephone_number": "707-571-7615",
"fax_number": "707-571-8601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 FARMERS LN",
"address_2": "SUITE 10",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954056718",
"telephone_number": "707-571-7615",
"fax_number": "707-571-8601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "JEANNETTE",
"middle_name": "ELAINE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT21833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.