Gracy Sheely

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH11097 Issued in AL

Practice address

610 Lurleen B Wallace Blvd N
Tuscaloosa, AL 35401-1713

Phone

(054) 098-0602

NPI assigned

Aug 6, 2018

Last updated

Nov 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physiolete Therapy and Performance LLC

  • Physical Therapy Clinic/Center
  • Tuscaloosa, AL
  • NPI 1275187650

  Physical Therapist

  Medicare reassignment NPD
• Physiolete Therapy and Performance LLC

  • Physical Therapist
  • Flowood, MS
  • NPI 1669381885
  NPD (past)

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1386122885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12151 AUTUMN LEAVES TRL",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354738561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 LURLEEN B WALLACE BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011713",
            "telephone_number": "054-098-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEELY",
        "first_name": "GRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "18047",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya D Shanahan
• Gaurav Sharma, MD
• Vishal Arjuna Sharma, MD
• Seth Adam Shaul
• Marsha Diane Shaw, CRNP
• Chloe Shell, MSW
• Marvin Mitch Shelton, CRNP
• Sachin Balkunje Shenoy, M.D.
• Arthur Robert Sheppard, M.D,
• John D Sheppard, MD

• Physical Therapist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.