Active NPI
Grace Johnson
- Physical Therapist
- Moore, OK
National Provider Identifier
1326924804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6718
- Practice address
- 117 W Main St
Moore, OK 73160-5105 - Phone
- (405) 237-9268
- NPI assigned
- Aug 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6718 | OK | Primary |
Addresses
Primary practice location
117 W Main St
Moore, OK 73160-5105
Mailing address
1303 W Tecumseh Rd Apt 731
Norman, OK 73069-3248
Other names 1
- Grace Berryhill
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6718 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1326924804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 W TECUMSEH RD APT 731",
"city": "NORMAN",
"state": "OK",
"postal_code": "730693248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W MAIN ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731605105",
"telephone_number": "405-237-9268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-12",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "6718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACE",
"last_name": "BERRYHILL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.