Organization Active NPI

Graceful Movement Center for Feldenkrais and Physical Therapy

  • Specialist
  • Boulder, CO
National Provider Identifier
1295964625
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6015 Issued in AZ
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

Updated by the provider on Jul 7, 2009

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.