Grace Myofascial Clinic, LLC
NPI 1457656639 · Physical Therapy Clinic/Center · Jackson, MS
Grace Myofascial Clinic, LLC is a Physical Therapy Clinic/Center organization in Jackson, MS (NPI 1457656639).
Provider details
- NPI number
- 1457656639
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Sellers, Physical Therapist(601) 717-0910
- License
- PT3632 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2011-01-19
- Last updated
- 2012-07-17
Frequently asked questions
- What is Grace Myofascial Clinic, LLC's NPI number?
- Grace Myofascial Clinic, LLC's National Provider Identifier (NPI) is 1457656639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grace Myofascial Clinic, LLC?
- Grace Myofascial Clinic, LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Grace Myofascial Clinic, LLC located?
- Grace Myofascial Clinic, LLC's practice location on file with NPPES is 3000 Old Canton Rd Ste 240, Jackson, MS 39216-4235.
- What is Grace Myofascial Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Grace Myofascial Clinic, LLC is (601) 717-0910.
- Who is the authorized official for Grace Myofascial Clinic, LLC?
- The authorized official listed on Grace Myofascial Clinic, LLC's NPPES record is Amanda Sellers, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grace Myofascial Clinic, LLC's NPI active?
- Yes — Grace Myofascial Clinic, LLC's NPI (1457656639) is active in the NPPES registry as of the last update on 2012-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.