DR. GRACE ROSA (DPT) – Physical Therapist, NPI 1396436432

DR. GRACE ROSA (DPT) is a healthcare provider. based in Traverse city, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501302390 (MI). The NPI Number for DR. GRACE ROSA (DPT) is 1396436432

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. GRACE ROSA (DPT)
NPI
1396436432
Phone
(231) 932-9014
Address
4000 EASTERN SKY DR
Enumeration Date
18 May 2023
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
CENTRAL MICHIGAN COLLEGE OF MEDICINE
Secondary Phone
2319329014
Graduation Year
2023 (3 years ago)
PAC ID
8022476894
Group Practice PAC ID
6709877087
Professional Enrollment ID
I20230627000742
Address ID
MI496847351TR4000XDRXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for DR. GRACE ROSA (DPT)

  • 4000 EASTERN SKY DR

    TRAVERSE CITY, MI 496847351

    Phone: (231) 932-9014

    Fax: (231) 932-9034

    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: 2023-06-27

PECOS data refreshed: 2026-05-27

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
I20230627000742IPhysical Therapist In Private PracticeMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities90571$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes44674$0
97162Evaluation for physical therapy, typically 30 minutes4747$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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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: 6709877087View full group profile
NameSpecialtyState
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI

Reviews

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Frequently asked questions

What NPI should I save for DR. GRACE ROSA (DPT)?
Save NPI 1396436432 if you need a stable reference for DR. GRACE ROSA (DPT).
Is DR. GRACE ROSA (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. GRACE ROSA (DPT)?
The page reflects Physical Therapist for DR. GRACE ROSA (DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. GRACE ROSA (DPT)?
The page summarizes Traverse City, Michigan for DR. GRACE ROSA (DPT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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