Active NPI
Jacqueline Gracia
- Physical Therapist
- Coppell, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 106 N Denton Tap Rd Ste 220
Coppell, TX 75019-2139 - Phone
- (972) 979-6577
- Fax
- (972) 829-2564
- NPI assigned
- Nov 10, 2020
- Last updated
- Dec 8, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
106 N Denton Tap Rd Ste 220
Coppell, TX 75019-2139
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
12747 Midway Rd Ste 150
Dallas, TX 75244-6304
Phone (972) 979-6577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
106 N Denton Tap Rd
Ste 220
Coppell, TX 75019
Phone (469) 528-6437
12747 Midway Rd
Ste 150
Dallas, TX 75244
Phone (469) 872-4562
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
3751 Main St
Ste 100
The Colony, TX 75056
Phone (469) 476-3523
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATI Physical Therapy
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1184226797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 N DENTON TAP RD STE 220",
"city": "COPPELL",
"state": "TX",
"postal_code": "750192139",
"telephone_number": "972-979-6577",
"fax_number": "972-829-2564"
}
],
"practiceLocations": [
{
"address_1": "12747 Midway Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752446304",
"country_code": "US",
"telephone_number": "972-979-6577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRACIA",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.