Individual provider Active NPI

Grace Mainwaring, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1164083580
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1625 Medical Center PT Ste 180
Colorado Springs, CO 80907-5798
Phone
(719) 344-9497
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1625 Medical Center PT Ste 180
Colorado Springs, CO 80907-5798

Mailing address

2430 Research Pkwy
Ste 100
Colorado Springs, CO 80920-1093
Phone (719) 623-1050

Other identifiers 1

IdentifierTypeStateIssuer
0000151OtherCOTEMP LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cismrehab@gmail.com Phenix Therapies, LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191011000432 CO Practitioner - Physical Therapist in Private Practice 2567793201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, 327 clinicians

Practice addresses (Care Compare)

2430 Research Pkwy
Suite 100
Colorado Springs, CO 80920-1093
Phone (719) 623-1795

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Phenix Therapies, LLC Physical Therapist CurrentSince Aug 20, 2019 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

2844 Janitell Rd
Colorado Spgs, CO 80906
Phone (719) 344-9497

2430 Research Pkwy
Ste 100
Colorado Springs, CO 80920
Phone (719) 623-1050

2430 Research Pkwy
Ste 205
Colorado Springs, CO 80920
Phone (505) 322-6687

1263 Lake Plaza Dr
Ste 210
Colorado Springs, CO 80906
Phone (719) 623-1050

2446 Research Pkwy
Ste 200
Colorado Springs, CO 80920
Phone (719) 623-1050

1625 Medical Center Pt
Ste 180
Colorado Springs, CO 80907
Phone (719) 344-9497

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1164083580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 RESEARCH PKWY",
            "address_2": "STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201093",
            "telephone_number": "719-623-1050",
            "fax_number": "719-623-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT STE 180",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075798",
            "telephone_number": "719-344-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINWARING",
        "first_name": "GRACE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMP LICENSE",
            "identifier": "0000151",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cismrehab@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Phenix Therapies, LLC",
            "address_1": "1625 Medical Center Pt Ste 180",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809075798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.

Verify at the official NPI Registry.