Active NPI
Grace Neuro Rehab & Wellness, PC
- Neurology Physical Therapist
- Tucson, AZ
National Provider Identifier
1487907986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 6794
- 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
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, ATP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952677213 | Other | AZ | INDIVIDUALMEDICARE NPI |
Other names 1
- GRACE Neuro
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physical Therapist
- Tucson, AZ
- NPI 1952677213
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
- Grace Home Assisted Living 1
- Grace Hospice and Palliative Care LLC
- Grace Hou MD PC
- Grace Maternity & Women'S Health, PLLC
- Grace Medical Group LLC
- Grace NP MD Adult Family Care LLC
- Grace7 Non-Emergency Medical Transportation LLC
- Graceful Beginnings Midwifery, LLC
- Celeste Renee Gracey, DO
- Justin Gracia, RBT
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.