LADY GRACE STORES, INC.
NPI 1265666812
Prosthetic/Orthotic Supplier in Brookline, MA

Active since May 12, 2009
1364 BEACON STREET, BROOKLINE, MA 02446(617) 566-8194 Get Directions Write a Review

NPPES record last updated: May 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lady Grace Stores, Inc. NPPES

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

LADY GRACE STORES, INC. (NPI 1265666812) is a healthcare organization registered as a prosthetic/orthotic supplier in Brookline, Massachusetts and active in the NPI registry since May 2009. The organization lists Bruce Ira Green, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1265666812
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameLADY GRACE STORES, INC.
Location Address1364 BEACON STREETBrookline, MA 02446
Mailing Address5 Commonwealth Ave, Unit 1Woburn, MA 01801-1009 · (781) 322-1721
Organization SubpartNo
Authorized OfficialBruce Ira GreenTreasurer · (781) 322-1721
Enumeration DateMay 12, 2009
NPI 1265666812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

1364 BEACON STREET, Brookline, MA 02446

Other Identifiers 1

Medicare NSC0664640011MA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265666812, enumerated as an "organization" on May 12, 2009.

The provider is located at 1364 BEACON STREET BROOKLINE, MA 02446 and the phone number is (617) 566-8194.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.