MEDICARE: GRACE THERAPIES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	224Z00000X	Occupational Therapy Assistant
2	225100000X	Physical Therapist
3	2251P0200X	Pediatric Physical Therapist
4	225200000X	Physical Therapy Assistant
5	225X00000X	Occupational Therapist
6	225XP0200X	Pediatric Occupational Therapist
7	2355S0801X	Speech-Language Assistant
8	235Z00000X	Speech-Language Pathologist
9	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194030155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE THERAPIES, LLC

Provider Business Mailing Address
First Line	:	7664 GERMANY CANAL RD
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34987-3300
Country	:	US
Telephone Number	:	772-577-6964
Fax Number	:	772-461-9954

Provider Business Practice Location Address
First Line	:	7664 GERMANY CANAL RD
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34987-3300
Country	:	US
Telephone Number	:	772-577-6964
Fax Number	:	772-461-9954

Authorized Official
Title or Position	:	MANAGING MEMBER/OWNER
Name	:	MRS. RHONDA K. DRAWDY
Credential	:	MS, CCC-SLP
Telephone Number	:	772-201-5942

Provider Enumeration Date	:	08/15/2010
Last Update Date	:	08/22/2024

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Directions to “GRACE THERAPIES, LLC ” Practice Location

Language	Start Address	Practice Location

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