NPIMap

Organization Active NPI

Grace Lutheran Foundation, Inc

Doing business as Grace Rehabilitation Services

  • Physical Therapist
  • Altoona, WI
National Provider Identifier
1639960347
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GRACE LUTHERAN FOUNDATION, INC
Doing business as
Grace Rehabilitation Services
Practice address
2441 New Pine Dr
Altoona, WI 54720-3300
Phone
(715) 832-3003
NPI assigned
May 13, 2025
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Amy Duhr
Title
Ceo
Phone
(715) 832-3003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

2441 New Pine Dr
Altoona, WI 54720-3300

Mailing address

PO Box 287
Eau Claire, WI 54702-0287
Phone (715) 832-3003

Other names 1

  • Grace Rehabilitation Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250610001123 WI Part B Supplier - Clinic/Group Practice 7113838061 Receives reassigned benefits from 13 practitioners
Practice locations: Altoona, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Grace Lutheran Foundation I4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
American Lutheran Homes - MondoviMondovi, WI, CCN 525383 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2000
Mar 4, 2025
American Lutheran Homes - MenomonieMenomonie, WI, CCN 525480 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2000
Jun 3, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1639960347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547020287",
            "telephone_number": "715-832-3003",
            "fax_number": "715-832-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 NEW PINE DR",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547203300",
            "telephone_number": "715-832-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE LUTHERAN FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "DUHR",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-832-3003"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, WI

Sources for this page

Verify at the official NPI Registry.