Active NPI
Grimaldi Rivera, O.T.R/L
- Occupational Therapist
- Irving, TX
National Provider Identifier
1033412929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 14306
- Practice address
- 3232 W Royal LN
Irving, TX 75063-3105 - Phone
- (877) 453-5162
- Fax
- (972) 983-0292
- NPI assigned
- Dec 14, 2010
- 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 | OT 14306 | FL | Primary |
Addresses
Primary practice location
3232 W Royal LN
Irving, TX 75063-3105
Mailing address
8896 NW 108TH LN
Hialeah Gardens, FL 33018-4525
Phone (786) 262-6445
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 |
|---|---|---|---|
| OT 14306 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1033412929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8896 NW 108TH LN",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330184525",
"telephone_number": "786-262-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3232 W ROYAL LN",
"city": "IRVING",
"state": "TX",
"postal_code": "750633105",
"telephone_number": "877-453-5162",
"fax_number": "972-983-0292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "GRIMALDI",
"name_prefix": "Miss",
"credential": "O.T.R/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-14",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 14306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.