OrganizationActive
Lady Grace Stores, Inc.
NPI 1265666812 · Prosthetic/Orthotic Supplier · Brookline, MA
Provider details
- NPI number
- 1265666812
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bruce Green, Treasurer(781) 322-1721
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1364 Beacon Street
Brookline, MA 02446
Phone: (617) 566-8194
Street-level locationGet directions
Mailing address
5 Commonwealth Ave
Woburn, MA 01801-1009
Registry dates
- Enumerated
- 2009-05-12
- Last updated
- 2009-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.