Grace Elaine Jory, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-6999 Issued in ID

Practice address

240 W Burnside Ave
Chubbuck, ID 83202-4702

Phone

(303) 957-6131

NPI assigned

Jul 23, 2009

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Grace Physical Therapy, LLC

  • Pediatric Physical Therapist
  • Lakewood, CO
  • NPI 1467724609
  NPD (past) Authorized official

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1881824902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 NEZ PERCE DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044613",
            "telephone_number": "303-957-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W BURNSIDE AVE",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024702",
            "telephone_number": "303-957-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORY",
        "first_name": "GRACE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-6999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87852071",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Scott Johnson, O.D.
• Shawna Johnson, BI
• Beverly Grigg Jones, LPC, NCC
• Robert Randall Jones Jr., MD
• William Jordan, PHARMD
• Joseph Leon Martindale
• Joseph Martindale, DO,PA
• Matthew Kam
• Brandi B Karroum, NP-C
• Renee Lynn Katter, PA-C

• Physical Therapist in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.