Grace Leanne Stockwell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2176693 Issued in TX

Practice address

5902 North St
Nacogdoches, TX 75965-1348

Phone

(936) 569-6227

NPI assigned

Dec 25, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1851160436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 GROVE LN",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759618744",
            "telephone_number": "903-471-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651348",
            "telephone_number": "936-569-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKWELL",
        "first_name": "GRACE",
        "middle_name": "LEANNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2176693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly D. Stewart, D.O.
• Patricia Huth Still, CCC/SLP
• Stockman Pain Services PLLC
• James Robert Stockman Jr., CRNA
• Kendra Brooks Stockman, CRNA
• Stone Fort Inpatient Services PLLC
• Stonewall Fellowship Church
• Stonewall Pediatric Health Center, LLC
• Barbara Stracener, RN
• Striplings Pharmacy LLC

• Physical Therapy Assistant in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.