Grace La Porte, DPT in Mystic, CT - Medicare Physical Therapist Provider

Grace La Porte, DPT is a medicare enrolled "Physical Therapist" provider in Mystic, Connecticut. Her current practice location is 2440 Gold Star Hwy Unit 201, Mystic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 536-1001.

Grace La Porte is licensed to practice in Connecticut (license number 14591) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154155653.

Contact Information

	Grace La Porte, DPT
	2440 Gold Star Hwy Unit 201, Mystic, CT 06355-1180
	(860) 536-1001
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Grace La Porte
Gender	Female
Speciality	Physical Therapist
Location	2440 Gold Star Hwy Unit 201, Mystic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154155653
Provider Enumeration Date: 08/27/2024
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 6709313281
Enrollment ID: I20241223000228

Medical Identifiers

Medical identifiers for Grace La Porte such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154155653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	052932 (New York)	Secondary
225100000X	Physical Therapist	14591 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Grace La Porte allows following entities to bill medicare on her behalf.

Provider Name	Kitsap Physical Therapy And Sports Clinic Ps Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912902347 PECOS PAC ID: 6507762333 Enrollment ID: O20031211000242

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grace La Porte is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Grace La Porte, DPT 274 Mason Rd, Mohawk, NY 13407-3902 Ph: (315) 717-8264	Grace La Porte, DPT 2440 Gold Star Hwy Unit 201, Mystic, CT 06355-1180 Ph: (860) 536-1001

Reviews and Comments

Physical Therapist in Mystic, CT

Mr. Edmond Francis Cardinal Jr., MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11 Main St, Mystic, CT 06355 Phone: 860-334-4229
Jenalyn D Vergara, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 186 Jerry Browne Rd, Mystic, CT 06355 Phone: 860-572-5675
Spectrum Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Stonington Rd, Suite A-3, Mystic, CT 06355 Phone: 860-536-1699 Fax: 860-536-1686
Ann Marie Kupis, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355 Phone: 860-536-1001 Fax: 860-536-1527
Katieanne P Christian, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355 Phone: 860-536-1001 Fax: 860-536-1005
Kevin P Raksnis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355 Phone: 860-536-1001 Fax: 860-536-1005

Grace La Porte, DPT - Medicare Physical Therapist in Mystic, CT