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

Grace C Yackly, DPT

Individual provider Physical Therapist · NPI 1639654239

Grace C Yackly, DPT is a Physical Therapist in Private Practice in Vadnais Heights, Minnesota. Qualified in 2023, 3 years ago. Practices with Summit Orthopedics, Ltd, a 280-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

3580 Arcade St
Vadnais Heights, MN 55127-7135
Phone: (651) 968-5201
Fax: (651) 968-5903
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13069 (MN)

Record details

NPI number1639654239
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 28, 2018
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023
Mailing address710 Commerce Dr Ste 200, Woodbury, MN 55125-4925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Summit Orthopedics, Ltd — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vadnais Heights