Active NPI
Regina M Grywalski, OT
- Pediatric Occupational Therapist
- Powell, OH
National Provider Identifier
1003026931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 000929
- Practice address
- 3833 Attucks Dr
Suite B
Powell, OH 43065-6082 - Phone
- (614) 793-8720
- Fax
- (614) 793-8722
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 000929 | OH | Primary |
Addresses
Primary practice location
3833 Attucks Dr
Suite B
Powell, OH 43065-6082
Mailing address
4823 Riverside Dr
Delaware, OH 43015-7901
Phone (740) 881-2003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000929 | OH | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Therapies, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1003026931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4823 RIVERSIDE DR",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430157901",
"telephone_number": "740-881-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3833 ATTUCKS DR",
"address_2": "SUITE B",
"city": "POWELL",
"state": "OH",
"postal_code": "430656082",
"telephone_number": "614-793-8720",
"fax_number": "614-793-8722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRYWALSKI",
"first_name": "REGINA",
"middle_name": "M",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OH",
"license": "000929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.