Jeannette Elaine Grace, P.T.
NPI 1114903192ActiveIndividual· Physical Therapist, Orthopedic· Santa Rosa, CA
Physical Therapist, Orthopedic (P.T.) with Stac Physical Therapy Sonoma Inc, practicing in Santa Rosa, California. Medicare paid $28,098 for services to 38 patients in 2024.
Overview
| NPI | 1114903192 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | No |
| NPI issued | Dec 21, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | PT21833 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 38 |
|---|---|
| Services billed | 1,104 across 8 procedure codes |
| Paid by Medicare | $28,098 |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Stac Physical Therapy Sonoma IncSanta Rosa, CA · 4 clinicians
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