Individual provider Active NPI

Grace Marie Lynch, PT

  • Physical Therapist
  • Gig Harbor, WA
National Provider Identifier
1497033054
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00005787 Issued in WA
Practice address
7195 Wagner Way
Gig Harbor, WA 98335-6906
Phone
(253) 313-5102
Fax
(253) 527-5353
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00005787 WA Primary

Addresses

Primary practice location

7195 Wagner Way
Gig Harbor, WA 98335-6906

Mailing address

4040 Orchard St W
Ste. 100
Fircrest, WA 98466-6606
Phone (253) 564-1560

Other practice location 1

463 Tremont St W
Ste. 103
Port Orchard, WA 98366-3743
Phone (360) 876-7129

Other names 1

  • Glenna Marie Eileen Lynch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131111001081 WA Practitioner - Physical Therapist in Private Practice 6608002118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7195 Wagner Way
Suite 102
Gig Harbor, WA 98335-6906
Phone (253) 278-9362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00005787WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Physical Therapy PLLC CurrentSince Jan 5, 2021 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Past Accepting new patients
Olympic Physical Therapy, Inc Physical Therapist Past Accepting new patients

Locations

7195 Wagner Way
Gig Harbor, WA 98335
Phone (253) 313-5102

7195 Wagner Way
Ste 102
Gig Harbor, WA 98335
Phone (253) 278-9362

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1497033054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ORCHARD ST W",
            "address_2": "STE. 100",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666606",
            "telephone_number": "253-564-1560",
            "fax_number": "253-564-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7195 WAGNER WAY",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356906",
            "telephone_number": "253-313-5102",
            "fax_number": "253-527-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 Tremont St W",
            "address_2": "Ste. 103",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983663743",
            "country_code": "US",
            "telephone_number": "360-876-7129",
            "fax_number": "360-876-2914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "GRACE",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENNA",
            "last_name": "LYNCH",
            "middle_name": "MARIE EILEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.