OrganizationActive
Lady Grace Stores, Inc.
NPI 1265669477 · Prosthetic/Orthotic Supplier · Waltham, MA
Lady Grace Stores, Inc. is a Prosthetic/Orthotic Supplier organization in Waltham, MA (NPI 1265669477).
Provider details
- NPI number
- 1265669477
- 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(86/100 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
108 River St
Waltham, MA 02453-8306
Phone: (781) 894-2081
Street-level locationGet directions
Mailing address
108 River St
Waltham, MA 02453-8306
Registry dates
- Enumerated
- 2009-06-15
- Last updated
- 2009-06-15
Frequently asked questions
- What is Lady Grace Stores, Inc.'s NPI number?
- Lady Grace Stores, Inc.'s National Provider Identifier (NPI) is 1265669477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lady Grace Stores, Inc.?
- Lady Grace Stores, Inc. is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Lady Grace Stores, Inc. located?
- Lady Grace Stores, Inc.'s practice location on file with NPPES is 108 River St, Waltham, MA 02453-8306.
- What is Lady Grace Stores, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lady Grace Stores, Inc. is (781) 894-2081.
- Who is the authorized official for Lady Grace Stores, Inc.?
- The authorized official listed on Lady Grace Stores, Inc.'s NPPES record is Bruce Green, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lady Grace Stores, Inc.'s NPI active?
- Yes — Lady Grace Stores, Inc.'s NPI (1265669477) is active in the NPPES registry as of the last update on 2009-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.