Grace Jimenez, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008705L Issued in PA

Practice address

6237 Spring Knoll Dr
Harrisburg, PA 17111-6864

Phone

(717) 651-7791

Fax

(717) 651-7791

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Grace Reyes Jimenez Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab1 LLCGroup PAC ID 3173626272, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rehab1 LLC

  • Physical Therapist
  • West Chester, PA
  • NPI 1902976855
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699806687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 SPRING KNOLL DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171116864",
            "telephone_number": "717-651-7791",
            "fax_number": "717-651-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 SPRING KNOLL DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171116864",
            "telephone_number": "717-651-7791",
            "fax_number": "717-651-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008705L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "JIMENEZ",
            "middle_name": "REYES",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jewish Family Service of Greater Harrisburg
• Jewish Family Service of Greater Harrisburg (Mynd Works)
• Jewish Home of Greater Harrisburg
• Manjit Kaur Jhajj, M.D.
• Jill Miller
• Minwoong Jin, DDS
• Prabha Jindal, M.D.
• Jmam Inc. (Murphy Eye Care)
• Dembo Jobarteh, RN
• John H Kiessling DMD

• Physical Therapist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.