Bonnie M Grace, RPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6015 Issued in AZ

Practice address

210 S Sunset Dr
Ste B
Sedona, AZ 86336-5406

Phone

(928) 282-2520

Fax

(928) 282-2895

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1225144876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863390334",
            "telephone_number": "928-282-2520",
            "fax_number": "928-282-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S SUNSET DR",
            "address_2": "STE B",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365406",
            "telephone_number": "928-282-2520",
            "fax_number": "928-282-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "BONNIE",
        "middle_name": "M",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "6015",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "3435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Gill, PHD
• Daniel Goldsmith, M.D.
• Goodwill Industries NA Sedona
• Joyeaux Noel Gosser, LMT
• Grace Mental Health Services PLLC
• Graceful Movement Center for Feldenkrais and Physical Therapy
• Susana Marie Graham, RCP, CRT
• Carol Jeane Greenwood, RN
• Erin Daniel Griffin, CGC, MS
• Jami Lynn Grover, OTR

• Physical Therapy Clinic/Center in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.