Individual provider Active NPI

Grace Carlson

  • Physical Therapist
  • Ringgold, GA
National Provider Identifier
1356125264
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
97 Gateway Business Park Dr
Ringgold, GA 30736-7395
Phone
(706) 937-5771
NPI assigned
Aug 22, 2023
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X SC Primary
Physical Therapist 225100000X

Addresses

Primary practice location

97 Gateway Business Park Dr
Ringgold, GA 30736-7395

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

406 Georgia Ave
Signal Mountain, TN 37377-1810
Phone (423) 331-6834

Other practice location 2

727 SE Main St Ste 200
Simpsonville, SC 29681-3262
Phone (864) 999-3831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231031001719 GA Practitioner - Physical Therapist in Private Practice 0446606230 Reassigns benefits to 1 organization
I20240914000492 SC Practitioner - Physical Therapist in Private Practice 0446606230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians
MCM Rehabilitation LLCGroup PAC ID 5294798336, 58 clinicians

Practice addresses (Care Compare)

727 SE Main St
Suite 200
Simpsonville, SC 29681-3262
Phone (864) 454-6670

97 Gateway Business Park Dr
Ringgold, GA 30736-7395
Phone (706) 937-5771

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.04

Merit-based Incentive Payment System (MIPS)

Final score
86.7 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Aug 17, 2023 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Aug 18, 2024 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Aug 18, 2024 Accepting new patients
MCM Rehabilitation LLC CurrentSince Aug 17, 2023 Accepting new patients

Locations

1343 W Walnut Ave
Dalton, GA 30720
Phone (706) 913-8201

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cr
Chicago, IL 60674

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

111 Doctors Dr
Greenville, SC 29605
Phone (864) 242-4683

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670

Organizations & group practices 4

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1356125264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 GATEWAY BUSINESS PARK DR",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307367395",
            "telephone_number": "706-937-5771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Georgia Ave",
            "address_purpose": "LOCATION",
            "city": "Signal Mountain",
            "state": "TN",
            "postal_code": "373771810",
            "country_code": "US",
            "telephone_number": "423-331-6834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "727 SE Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296813262",
            "country_code": "US",
            "telephone_number": "864-999-3831",
            "fax_number": "864-794-5411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.