Healthcare Provider Details

I. General information

NPI: 1851206312
Provider Name (Legal Business Name): GRACE HOFFMAN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 W US HIGHWAY 224
TIFFIN OH
44883-8305
US

IV. Provider business mailing address

7023 OH-18
FOSTORIA OH
44830-9518
US

V. Phone/Fax

Practice location:
  • Phone: 419-448-0220
  • Fax:
Mailing address:
  • Phone: 567-250-4828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT022576
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: