Grace Gentry, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OT024231 Issued in PA

Practice address

3101 Emrick Blvd Ste 112
Bethlehem, PA 18020-8037

Phone

(484) 822-5280

Fax

(833) 816-5609

NPI assigned

Jan 3, 2023

Reactivated

May 30, 2025

Last updated

Jun 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1649983719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 EMRICK BLVD STE 112",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208037",
            "telephone_number": "484-822-5280",
            "fax_number": "833-816-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 EMRICK BLVD STE 112",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208037",
            "telephone_number": "484-822-5280",
            "fax_number": "833-816-5609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Mullins Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973553983",
            "country_code": "US",
            "telephone_number": "541-259-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "GRACE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "deactivation_date": "2025-05-09",
        "reactivation_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT024231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Health Care
• Genesis Healthcare
• Genesis Rehabilitation Services
• Cindy Genetti, R.PH.
• Gentle Family Dentistry
• Ryan P Geoffroy, PA-C
• Olivia Marie Georges, MS, OTR/L
• Kara Georgianni, CRNP
• Jaron Michael Gerber, DO
• Lisa Jean Gercie, M.ED., LPC, NCC

• Family Medicine Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.