Individual provider Active NPI

James Gregory Grace, PT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1679773790
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1175711 Issued in TX
Practice address
4532 West Gate Blvd
Ste 100
Austin, TX 78745-1485
Phone
(512) 892-7337
Fax
(512) 892-7339
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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 1175711 TX Primary

Addresses

Primary practice location

4532 West Gate Blvd
Ste 100
Austin, TX 78745-1485

Mailing address

17325 Bell North Dr
Suite 2-B
Schertz, TX 78154-3368
Phone (888) 590-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1679773790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 BELL NORTH DR",
            "address_2": "SUITE 2-B",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543368",
            "telephone_number": "888-590-4002",
            "fax_number": "210-590-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 WEST GATE BLVD",
            "address_2": "STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451485",
            "telephone_number": "512-892-7337",
            "fax_number": "512-892-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "JAMES",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1175711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.