Grace Fantl, PA-C
Physician Assistant in Westport, Massachusetts
1710461595- Practice location
- 829 American Legion Hwy, Westport, MA 02790-4128
- Phone
- 508-306-1400
- Fax
- 978-371-0522
- Last updated
- October 2, 2026
Grace Fantl is a Physician Assistant based in Westport, MA. Grace Fantl practices in Westport, MA and has the professional credentials of PA-C. The NPI Number for Grace Fantl is 1710461595 and holds a License No. PA8620 (MA). The current practice location address for Grace Fantl is 829 American Legion Hwy, Westport, MA 02790-4128 and can be reached out via phone at 508-306-1400 and via fax at 978-371-0522.
Provider Profile Details
- NPI Number
- 1710461595
- Provider Name
- Grace Fantl
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 829 American Legion Hwy, Westport, MA 02790-4128
- Phone Number
- 508-306-1400
- Fax Number
- 978-371-0522
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 18, 2018
- Last Update Date
- October 2, 2026
- Certification Date
- October 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 829 American Legion Hwy
Westport, MA 02790-4128 - City
- Westport
- State
- Massachusetts
- Zip
- 02790-4128
- Phone Number
- 508-306-1400
- Fax Number
- 978-371-0522
Provider Business Mailing Address Details
- Address
- 526 Main St Ste 302
Acton, MA 01720-3310 - City
- Acton
- State
- MA
- Zip
- 01720-3310
- Phone Number
- 978-371-7010
- Fax Number
- 978-371-0522
License Information
- License Number
- PA8620
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Grace Fantl, PA-C?
The NPI number of Grace Fantl, PA-C is 1710461595. It was assigned on September 18, 2018 and is currently active in the NPPES registry.
What is the specialty of Grace Fantl, PA-C?
Grace Fantl, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA8620.
Where does Grace Fantl, PA-C practice?
The practice location is 829 American Legion Hwy, Westport, MA 02790-4128. The office can be reached at 508-306-1400 (phone) or 978-371-0522 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710461595 directly on the NPPES registry website.