GRACE MYOFASCIAL CLINIC, LLC
NPI 1457656639
Clinic/Center - Physical Therapy in Jackson, MS

Active since January 19, 2011
3000 OLD CANTON RD STE 240, JACKSON, MS 39216(601) 717-0910(769) 257-6382 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Grace Myofascial Clinic, Llc NPPES

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

GRACE MYOFASCIAL CLINIC, LLC (NPI 1457656639) is a healthcare organization registered as a physical therapy in Jackson, Mississippi and active in the NPI registry since January 2011. The organization lists Amanda Weilenman Sellers, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1457656639
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameGRACE MYOFASCIAL CLINIC, LLC
Location Address3000 OLD CANTON RD STE 240Jackson, MS 39216-4235
Mailing Address3000 Old Canton Rd Ste 240Jackson, MS 39216-4235 · (601) 717-0910 · Fax (769) 257-6382
Fax(769) 257-6382
Organization SubpartNo
Authorized OfficialAmanda Weilenman SellersPhysical Therapist · (601) 717-0910
Enumeration DateJanuary 19, 2011
Last NPPES UpdateJuly 17, 2012
NPI 1457656639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in MS · PT3632
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
3000 OLD CANTON RD STE 240, Jackson, MS 39216

Other Providers at the Same Location NPPES 2

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

Family Medicine
3000 OLD CANTON RD STE 240
JACKSON, MS 39216
Pediatrics (Developmental - Behavioral Pediatrics)
3000 OLD CANTON RD STE 240
JACKSON, MS 39216

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 Grace Myofascial Clinic, LLC's NPI number?

The NPI number for Grace Myofascial Clinic, LLC is 1457656639. It was assigned to this organization in the NPPES registry on January 19, 2011.

Where is Grace Myofascial Clinic, LLC located?

Grace Myofascial Clinic, LLC is located at 3000 Old Canton Rd Ste 240, Jackson, MS 39216. The listed phone number is (601) 717-0910.

What is Grace Myofascial Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Grace Myofascial Clinic, LLC was last updated on July 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.