LACEY RAE
NPI 1366996639
Specialist in Grove City, PA

Q: What is Lacey Rae's NPI number?

The NPI number for Lacey Rae is 1366996639. It was assigned to this individual provider in the NPPES registry on August 4, 2016. The provider is also known as Lacey Weaver.

Q: What is Lacey Rae's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Lacey Rae was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 04, 2016

120 S BROAD ST, SUITE A, GROVE CITY, PA 16127(724) 458-1500(724) 458-1501 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lacey Rae NPPES

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

LACEY RAE (NPI 1366996639) is an individual specialist in Grove City, Pennsylvania, licensed in Pennsylvania (OC014811) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1366996639

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameLACEY RAE

Location Address120 S BROAD ST, SUITE AGrove City, PA 16127-1544

Mailing Address120 S Broad St, Suite AGrove City, PA 16127-1544 · (724) 458-1500 · Fax (724) 458-1501

Phone(724) 458-1500

Fax(724) 458-1501

Sole ProprietorYes

Enumeration DateAugust 4, 2016

Last NPPES UpdateNovember 8, 2016

✔ NPI 1366996639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in PA · OC014811

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

120 S BROAD ST, Grove City, PA 16127

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Other Names 1

Former Name (1)Lacey Weaver

Other Providers at the Same Location NPPES 4

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

ASHLEY BOUGHTER MS, CCC-SLP

Speech-Language Pathologist

120 S BROAD ST
GROVE CITY, PA 16127

Mercer County (724) 458-1500

CARRIE DEVER

Speech-Language Pathologist

120 S BROAD ST, SUITE A
GROVE CITY, PA 16127

Mercer County (724) 458-1500

MEGAN ROSE WILEY OT/L

Occupational Therapist

120 S BROAD ST, SUITE A
GROVE CITY, PA 16127

Mercer County (724) 458-1500

TAYLOR EMHOFF

Speech-Language Pathologist

120 S BROAD ST, SUITE A
GROVE CITY, PA 16127

Mercer County (724) 458-1500

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 Lacey Rae's NPI number?

The NPI number for Lacey Rae is 1366996639. It was assigned to this individual provider in the NPPES registry on August 4, 2016. The provider is also known as Lacey Weaver.

Where is Lacey Rae located?

Lacey Rae practices at 120 S Broad St Suite A, Grove City, PA 16127. The listed phone number is (724) 458-1500.

What is Lacey Rae's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lacey Rae was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.