Individual provider Active NPI

Grace Terry Walsh, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1255947222
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6595 Roosevelt Blvd # B
Philadelphia, PA 19149-2998
Phone
(215) 743-2332
NPI assigned
Sep 16, 2020
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT028776 PA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6595 Roosevelt Blvd # B
Philadelphia, PA 19149-2998

Mailing address

1502 W Chester Pike Ste 23
West Chester, PA 19382-7705
Phone (516) 410-5375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240729003331 PA Practitioner - Physical Therapist in Private Practice 5496290686 Reassigns benefits to 2 organizations
I20260316003598 DE Practitioner - Physical Therapist in Private Practice 5496290686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics SPT IncGroup PAC ID 7113834102, 101 clinicians

Practice addresses (Care Compare)

604 Commons Dr
Oxford, PA 19363-1223
Phone (610) 932-3619

688 Downingtown Pike
West Chester, PA 19380-2226
Phone (484) 787-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Jun 20, 2024 Accepting new patients
Rehabclinics (SPT), Inc. CurrentSince Jun 20, 2024 Accepting new patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. Physical Therapist Current Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. CurrentSince Jun 20, 2024 Accepting new patients
Physiotherapy Associates Inc CurrentSince Feb 2, 2026 Accepting new patients
Physiotherapy Associates, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jun 20, 2024 Accepting new patients

Locations

256 Foxhunt Dr
#50595
Bear, DE 19701
Phone (302) 834-8650

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

6595 Roosevelt Blvd
#B
Philadelphia, PA 19149
Phone (215) 743-2332

1502 W Chester Pike
Ste 23
West Chester, PA 19382
Phone (610) 692-7208

688 Downingtown Pike
West Chester, PA 19380
Phone (484) 787-0200

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1255947222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W CHESTER PIKE STE 23",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827705",
            "telephone_number": "516-410-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 ROOSEVELT BLVD # B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492998",
            "telephone_number": "215-743-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "GRACE",
        "middle_name": "TERRY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT028776",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.