Active NPI
Kylee Nicole Grady, OTR
- Occupational Therapist
- Fairview Park, OH
National Provider Identifier
1023617792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT011224
- Practice address
- 21475 Hillsdale Ave
Fairview Park, OH 44126-2118 - Phone
- (440) 799-9982
- NPI assigned
- Oct 22, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT011224 | OH | Primary |
Addresses
Primary practice location
21475 Hillsdale Ave
Fairview Park, OH 44126-2118
Mailing address
21475 Hillsdale Ave
Fairview Park, OH 44126-2118
Phone (440) 799-9982
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 |
|---|---|---|---|
| OT011224 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1023617792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21475 HILLSDALE AVE",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441262118",
"telephone_number": "440-799-9982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21475 HILLSDALE AVE",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441262118",
"telephone_number": "440-799-9982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "KYLEE",
"middle_name": "NICOLE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT011224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairview Park, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.