Organization Active NPI

Grace Neuro Rehab & Wellness, PC

  • Neurology Physical Therapist
  • Tucson, AZ
National Provider Identifier
1487907986
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
6794 Issued in AZ
Legal business name
GRACE NEURO REHAB & WELLNESS, PC
Practice address
7628 N la Cholla Blvd
Tucson, AZ 85741-4201
Phone
(520) 297-4723
Fax
(520) 297-4726
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Ms. Laurie B Stratton, PT, MSPT, NCS, ATPNPI 1952677213
Title
President/Owner
Phone
(520) 429-9475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251N0400X 6794 AZ Primary

Addresses

Primary practice location

7628 N la Cholla Blvd
Tucson, AZ 85741-4201

Mailing address

7628 N la Cholla Blvd
Tucson, AZ 85741-4201
Phone (520) 297-4723

Other identifiers 1

IdentifierTypeStateIssuer
1952677213OtherAZINDIVIDUALMEDICARE NPI

Other names 1

  • GRACE Neuro Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1487907986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7628 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857414201",
            "telephone_number": "520-297-4723",
            "fax_number": "520-297-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7628 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857414201",
            "telephone_number": "520-297-4723",
            "fax_number": "520-297-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE NEURO REHAB & WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "520-429-9475",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, MSPT, NCS, ATP"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "AZ",
            "license": "6794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUALMEDICARE NPI",
            "identifier": "1952677213",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE Neuro",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.