Active NPI
Graceful Movement Center for Feldenkrais and Physical Therapy
- Specialist
- Boulder, CO
National Provider Identifier
1295964625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6015
- Legal business name
- GRACEFUL MOVEMENT CENTER FOR FELDENKRAIS AND PHYSICAL THERAPY
- Practice address
- 3393 Iris Ave
Ste 106
Boulder, CO 80301-5205 - Phone
- (928) 282-2520
- Fax
- (928) 282-2895
- NPI assigned
- Jul 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Bonnir M Grace, RPT
- Title
- Owner
- Phone
- (928) 282-2520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6015 | AZ | Primary |
Addresses
Primary practice location
3393 Iris Ave
Ste 106
Boulder, CO 80301-5205
Mailing address
PO Box 334
Sedona, AZ 86339-0334
Phone (928) 282-2520
National Provider Directory
National Provider DirectoryLocations
210 Sunset Dr
Ste B1
Sedona, AZ 86336
Phone (928) 600-2609
5717 Arapahoe Ave
Ste 203
Boulder, CO 80303
Phone (303) 898-9884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246924800000",
"number": "1295964625",
"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": "3393 IRIS AVE",
"address_2": "STE 106",
"city": "BOULDER",
"state": "CO",
"postal_code": "803015205",
"telephone_number": "928-282-2520",
"fax_number": "928-282-2895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACEFUL MOVEMENT CENTER FOR FELDENKRAIS AND PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-07",
"last_updated": "2009-07-07",
"status": "A",
"authorized_official_last_name": "GRACE",
"authorized_official_first_name": "BONNIR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-282-2520",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AZ",
"license": "6015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.