Organization Active NPI

Grace Rehab, Inc.

  • Prosthetic/Orthotic Supplier
  • Plano, TX
National Provider Identifier
1679388359
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
GRACE REHAB, INC.
Practice address
624 Krona Dr Ste 110
Plano, TX 75074-8325
Phone
(409) 626-1491
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Nathan Sutti Sutti, CPO
Title
Owner
Phone
(972) 689-2997

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

624 Krona Dr Ste 110
Plano, TX 75074-8325

Mailing address

624 Krona Dr Ste 110
Plano, TX 75074-8325
Phone (972) 689-2997

Other identifiers 1

IdentifierTypeStateIssuer
177478802MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250807000706 TX DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 9739390212 Practice locations: Plano, TX

Other NPIs with the same Medicare PAC ID 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Grace Rehab Inc624 Krona Dr, Plano, TX 75074(469) 989-8283 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jul 22, 2005

National Provider Directory

National Provider Directory
Tax ID family
Grace Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

624 Krona Dr
Ste 110
Plano, TX 75074
Phone (409) 626-1491

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": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1679388359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 KRONA DR STE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748325",
            "telephone_number": "972-689-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 KRONA DR STE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748325",
            "telephone_number": "409-626-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "SUTTI",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "SUTTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-689-2997",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177478802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.