LADY GRACE STORES, INC.
NPI 1265669477
Prosthetic/Orthotic Supplier in Waltham, MA

Active since June 15, 2009
108 RIVER ST, WALTHAM, MA 02453(781) 894-2081 Get Directions Write a Review

NPPES record last updated: June 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 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 1265669477) is a healthcare organization registered as a prosthetic/orthotic supplier in Waltham, Massachusetts and active in the NPI registry since June 2009. The organization lists Bruce I Green, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1265669477
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameLADY GRACE STORES, INC.
Location Address108 RIVER STWaltham, MA 02453-8306
Mailing Address108 River StWaltham, MA 02453-8306 · (781) 894-2081
Organization SubpartNo
Authorized OfficialBruce I GreenTreasurer · (781) 322-1721
Enumeration DateJune 15, 2009
NPI 1265669477 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.
108 RIVER ST, Waltham, MA 02453

Other Identifiers 1

Medicare NSC0664640007

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 Lady Grace Stores, Inc.'s NPI number?

The NPI number for Lady Grace Stores, Inc. is 1265669477. It was assigned to this organization in the NPPES registry on June 15, 2009.

Where is Lady Grace Stores, Inc. located?

Lady Grace Stores, Inc. is located at 108 River St, Waltham, MA 02453. The listed phone number is (781) 894-2081.

What is Lady Grace Stores, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Lady Grace Stores, Inc. was last updated on June 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.