Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Full Grace Physical Therapy, PC

Organization Physical Therapist · NPI 1598268740

Full Grace Physical Therapy, PC is a Physical Therapist in Mt Vernon, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2 Gramatan Ave Ste 206
Mt Vernon, NY 10550-2002
Phone: (914) 664-1380
Fax: (914) 664-1383
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 017135-1 (NY)

Record details

NPI number1598268740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ethelvida Ciccone — Pres./Owner · (347) 885-5367
NPI enumeratedMarch 14, 2018
Last updated in NPPESMarch 14, 2018
Mailing address2 Gramatan Avenue, Suite 206, Mt. Vernon, NY 10550-2002