Active NPI
Camille Lynn Grace, DPT
- Physical Therapist
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30019
- Practice address
- 10700 Charter Dr Ste 205
Columbia, MD 21044-3687 - Phone
- (443) 546-1575
- Fax
- (443) 546-1575
- NPI assigned
- Dec 9, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20481 | CO | |
| Physical Therapist | 225100000X | 30019 | MD | Primary |
Addresses
Primary practice location
10700 Charter Dr Ste 205
Columbia, MD 21044-3687
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Other practice location 1
660 Golden Ridge Rd Ste 130
Golden, CO 80401-9541
Phone (720) 497-6616
Other practice location 2
4924 Campbell Blvd Ste 130A
Nottingham, MD 21236-5909
Phone (443) 997-5476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Denver, CO 80246
Phone (866) 525-3175
660 Golden Ridge Rd
Suite 130
Golden, CO 80401-9541
Phone (720) 497-6616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30019 | MD | MD | Pharmacist |
| 20481 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Colorado Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Panorama Orthopedics & Spine Center, PC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Panorama Orthopedics & Spine Center, PC | Current | Accepting new patients | |
| Panorama Orthopedics and Spine Center PC | Current | Accepting new patients |
Locations
500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790
501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782
660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321
660 Golden Ridge Rd
Ste 130
Golden, CO 80401
Phone (303) 275-2190
8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100
Organizations & group practices 7
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
- Denver, CO
- NPI 1891461125
-
- Orthopaedic Surgery Physician
- Golden, CO
- NPI 1295787950
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Family Medicine Physician
- Lafayette, CO
- NPI 1326651480
-
- Physical Therapy Clinic/Center
- Colorado Springs, CO
- NPI 1194390518
-
- Physical Therapy Clinic/Center
- Centennial, CO
- NPI 1215679634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1184335200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"fax_number": "720-497-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 CHARTER DR STE 205",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443687",
"telephone_number": "443-546-1575",
"fax_number": "443-546-1575"
}
],
"practiceLocations": [
{
"address_1": "660 Golden Ridge Rd Ste 130",
"address_purpose": "LOCATION",
"city": "Golden",
"state": "CO",
"postal_code": "804019541",
"country_code": "US",
"telephone_number": "720-497-6616",
"fax_number": "720-497-6767",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4924 Campbell Blvd Ste 130A",
"address_purpose": "LOCATION",
"city": "Nottingham",
"state": "MD",
"postal_code": "212365909",
"country_code": "US",
"telephone_number": "443-997-5476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRACE",
"first_name": "CAMILLE",
"middle_name": "LYNN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "20481",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "30019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.