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

Jeannette Elaine Grace, PT

Individual provider Orthopedic Physical Therapist · NPI 1114903192

Jeannette Elaine Grace, PT is a Physical Therapist in Private Practice in Santa Rosa, California. Qualified in 1996, 30 years ago. Practices with Stac Physical Therapy Sonoma Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

795 Farmers Ln Ste 10
Santa Rosa, CA 95405-6718
Phone: (707) 571-7615
Fax: (707) 571-8601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT21833 (CA)

Record details

NPI number1114903192
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 21, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Stac Physical Therapy Sonoma Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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