Active NPI
Grace C Shen, PT
- Physical Therapist
- Crossville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16202
- Practice address
- 115 Cumberland PLZ
Crossville, TN 38555-4292 - Phone
- (931) 787-1244
- NPI assigned
- Jan 31, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8692 | NC | |
| Physical Therapist | 225100000X | 16202 | TN | Primary |
Addresses
Primary practice location
115 Cumberland PLZ
Crossville, TN 38555-4292
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
136 Flynn Branch Rd
Fletcher, NC 28732-8517
Phone (828) 545-2948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079TY | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TN
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8692 | NC | MD | Speech-Language Pathologist |
| 16202 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Results-Ast JV, LLC | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Touch Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
| Canton Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
67 Mountainbrook Rd
Asheville, NC 28805
Phone (828) 258-8787
2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
115 Cumberland Plz
Crossville, TN 38555
Phone (931) 787-1244
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
-
- Physical Therapist
- Durham, NC
- NPI 1104823400
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Physical Therapist
- Canton, NC
- NPI 1609171958
-
- Physical Therapist
- Asheville, NC
- NPI 1467602342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1447437561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CUMBERLAND PLZ",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385554292",
"telephone_number": "931-787-1244"
}
],
"practiceLocations": [
{
"address_1": "136 Flynn Branch Rd",
"address_purpose": "LOCATION",
"city": "Fletcher",
"state": "NC",
"postal_code": "287328517",
"country_code": "US",
"telephone_number": "828-545-2948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEN",
"first_name": "GRACE",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-31",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8692",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "16202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "079TY",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.