GRACE PARKER (DPT) – Physical Therapist, NPI 1043097678

GRACE PARKER (DPT) is a healthcare provider. based in Overland park, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for GRACE PARKER (DPT) is 1043097678

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
GRACE PARKER (DPT)
NPI
1043097678
Phone
(913) 912-1096
Address
9506 NALL AVE
Enumeration Date
8 September 2023
Last Update Date
8 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8168091085
Graduation Year
2023 (3 years ago)
PAC ID
9032565684
Group Practice PAC ID
4284022203
Professional Enrollment ID
I20231102000897
Address ID
KS662219326OV10034STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

1,055 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for GRACE PARKER (DPT)

  • 9506 NALL AVE

    OVERLAND PARK, KS 662072950

    Phone: (913) 912-1096

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231102000897IPhysical Therapist In Private PracticeKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284022203View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeKS
Occupational Therapist In Private PracticeKS
Qualified Speech Language PathologistKS
Physical Therapist In Private PracticeKS
Occupational Therapist In Private PracticeKS
Qualified Speech Language PathologistKS
Occupational Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Occupational Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

Does GRACE PARKER (DPT) have a public NPI I can cite?
Public records show GRACE PARKER (DPT) under NPI 1043097678.
Should I treat GRACE PARKER (DPT) as an active provider?
Patients and plans typically see GRACE PARKER (DPT) as active in the national extract.
What does the directory say GRACE PARKER (DPT) does?
Insurance directories may phrase it differently, but here GRACE PARKER (DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is GRACE PARKER (DPT) tied to Overland Park, Kansas?
If you are local to Overland Park, Kansas, GRACE PARKER (DPT) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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