Gracie Laird, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2182158 Issued in TX

Practice address

1302 Tom Temple Dr
Lufkin, TX 75904

NPI assigned

Jul 17, 2024

Last updated

Jul 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1306684931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ALTA ST UNIT B",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759011359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 TOM TEMPLE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "GRACIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2182158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle G Krohn, M.D.
• Prashant Kumar, M.D.
• Swati Sharma Kumar, MBBS
• Anita M Kuruvilla, M.D.
• Laboratory Corporation of America
• Gloria Cervantes Lamkin, LCSW
• Carmon L Lampley-Roberts, OD
• David Lynn Larned, MD
• Tammy R. Larned, MSN, RN
• Angela Lynn Larson, RD

• Physical Therapy Assistant in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.