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SHANNON GRAGE PT, DPT
NPI 1790496396
Physical Therapist - Orthopedic in Brockport, NY

Active since December 06, 2022
156 WEST AVE, BROCKPORT, NY 14420(585) 275-5321 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Grage Pt, Dpt NPPES

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

SHANNON GRAGE PT, DPT (NPI 1790496396) is an individual orthopedic provider in Brockport, New York, licensed in New York (049751-01) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1790496396
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameSHANNON GRAGECredential: PT, DPT
Location Address156 WEST AVEBrockport, NY 14420-1229
Mailing Address156 West AveBrockport, NY 14420-1229
Phone(585) 275-5321
Sole ProprietorNo
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1790496396 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 NY · 049751-01
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.
156 WEST AVE, Brockport, NY 14420
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Other Providers at the Same Location NPPES 20

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

LAKESIDE IMAGING, LLC
Radiology (Diagnostic Radiology)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (716) 859-2954
DR. TIMOTHY VERNON HAGY M.D.
Emergency Medicine (Emergency Medical Services)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
UNIVERSITY OF ROCHESTER
Pharmacy (Community/Retail Pharmacy)
156 WEST AVE, PHARMACY
BROCKPORT, NY 14420
Monroe County (585) 758-7562
ERIK PETERSON D.O.
Emergency Medicine
156 WEST AVE, EMERGENCY DEPARTMENT
BROCKPORT, NY 14420
Monroe County (585) 395-6095
EMMA LEATHAM PA-C
Physician Assistant (Medical)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 758-7557
AMY LORRAINE STACY MS, RD, CDN
Dietitian, Registered
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
INTERNAL MEDICINE AT LAKESIDE
Internal Medicine
156 WEST AVE, SUITE 106
BROCKPORT, NY 14420
Monroe County (585) 395-6095
JORDAN BLOCK
Physical Therapist (Orthopedic)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 275-5321

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 Shannon Grage's NPI number?

The NPI number for Shannon Grage is 1790496396. It was assigned to this individual provider in the NPPES registry on December 6, 2022.

Where is Shannon Grage located?

Shannon Grage practices at 156 West Ave, Brockport, NY 14420. The listed phone number is (585) 275-5321.

What is Shannon Grage's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Grage was last updated on December 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.