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JEANNETTE ELAINE GRACE P.T.
NPI 1114903192
Physical Therapist - Orthopedic in Santa Rosa, CA

Active since December 21, 2005Accepts Medicare Assignment
795 FARMERS LN, SUITE 10, SANTA ROSA, CA 95405(707) 571-7615(707) 571-8601 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeannette Elaine Grace P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANNETTE ELAINE GRACE P.T. (NPI 1114903192) is an individual orthopedic provider in Santa Rosa, California, licensed in California (PT21833) and active in the NPI registry since December 2005. She is a graduate of Other (1996).

NPPES Registry Identity

NPI1114903192
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameJEANNETTE ELAINE GRACECredential: P.T.
Location Address795 FARMERS LN, SUITE 10Santa Rosa, CA 95405-6718
Mailing Address795 Farmers Ln, Suite 10Santa Rosa, CA 95405-6718 · (707) 571-7615 · Fax (707) 571-8601
Phone(707) 571-7615
Fax(707) 571-8601
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 21, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1114903192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · PT21833
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
795 FARMERS LN, Santa Rosa, CA 95405
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeannette Elaine Grace P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739274291
PECOS Enrollment IDI20070928000666

Medicare Billing Reassignments

2

Medicare enrollment records show Jeannette Grace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
2.6 mi
Physical Therapist
1400 N DUTTON AVE, SUITE 1
Santa Rosa, CA 95401
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1780767541 (707) 523-2848
Stac Physical Therapy Sonoma, Inc.
2.7 mi
Physical Therapist
1400 N DUTTON AVE STE 1
Santa Rosa, CA 95401
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1720707136 (707) 523-2848

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,047 services36 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
17 services16 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
17 services13 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GUY STEPHAN MOHR A.T.
Physical Therapist (Orthopedic)
795 FARMERS LN, SUITE 10
SANTA ROSA, CA 95405
Sonoma County (707) 571-7615
MR. JOHN DANIEL STITHEM P.S. SCS
Physical Therapist (Orthopedic)
795 FARMERS LN, SUTIE 10
SANTA ROSA, CA 95405
Sonoma County (707) 571-7615
ANDREW GARRETT HUGHEY P.T.
Physical Therapist (Orthopedic)
795 FARMERS LN, SUTIE 10
SANTA ROSA, CA 95405
Sonoma County (707) 571-7615
ROBIN LYNNE SAMAY PHYSICAL THERAPY
Physical Therapist (Orthopedic)
795 FARMERS LN, SUITE 10
SANTA ROSA, CA 95405
Sonoma County (707) 571-7615
SWAIN CENTER, INC
Speech-Language Pathologist
795 FARMERS LN, SUITE 23
SANTA ROSA, CA 95405
Sonoma County (707) 575-1468
CORINNE TERESA WILLIAMS A.T.
Physical Therapy Assistant
795 FARMERS LN, SUITE 10
SANTA ROSA, CA 95405
Sonoma County (707) 571-7615
KELLY MARIE STEMPE P.T.
Physical Therapist (Orthopedic)
795 FARMERS LN, SUITE 10
SANTA ROSA, CA 95405
Sonoma County (707) 571-7615
ROBERT BERNARD LEAVITT PT, MPT, OCS, JSCC
Physical Therapist
795 FARMERS LN, STE 10
SANTA ROSA, CA 95405
Sonoma County (707) 571-7615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeannette Grace's NPI number?

The NPI number for Jeannette Grace is 1114903192. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Jeannette Grace located?

Jeannette Grace practices at 795 Farmers Ln Suite 10, Santa Rosa, CA 95405. The listed phone number is (707) 571-7615.

What is Jeannette Grace's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Jeannette Grace enrolled in Medicare?

Yes. Jeannette Grace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeannette Grace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeannette Grace reassigns Medicare benefits to 2 organizations: (Santa Rosa, CA) and Stac Physical Therapy Sonoma, Inc. (Santa Rosa, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeannette Grace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeannette Grace was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.