Individual provider Active NPI

Grace Marie Galvanoni, P.T.

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1235341884
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1570 Issued in AZ
Practice address
10634 N 35TH St
Phoenix, AZ 85028-3312
Phone
(602) 992-7478
Fax
(602) 595-4577
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1570 AZ Primary

Addresses

Primary practice location

10634 N 35TH St
Phoenix, AZ 85028-3312

Mailing address

PO Box 22100
Phoenix, AZ 85028-0100
Phone (602) 992-7478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1570AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gier, Inc. Physical Therapist Past Accepting new patients
Highland Pain Clinic PLLC Past Accepting new patients
Pediatric Partners LLC Physical Therapist PastSince Jun 1, 2013 Accepting new patients
Healthworks Physical Therapy, Inc. Physical Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235341884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850280100",
            "telephone_number": "602-992-7478",
            "fax_number": "602-595-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10634 N 35TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283312",
            "telephone_number": "602-992-7478",
            "fax_number": "602-595-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVANONI",
        "first_name": "GRACE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.