Emily Dolores Grullon, OTD, OTR

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

19710 Issued in CA

Practice address

289 W Huntington Dr Ste 103
Arcadia, CA 91007-3492

Phone

(626) 396-8150

NPI assigned

Feb 11, 2019

Last updated

Feb 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Novum Therapy Partners, Inc.

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  • NPI 1194588111
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1033675483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 W HUNTINGTON DR STE 103",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073492",
            "telephone_number": "626-396-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 W HUNTINGTON DR STE 103",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073492",
            "telephone_number": "626-396-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRULLON",
        "first_name": "EMILY",
        "middle_name": "DOLORES",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "19710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory J. Vipond, M.D., Inc.
• Gregory T. Heinen, M.D., Inc
• Dennis Joel Griffin, LCSW
• Liva Yates Gritton, MD
• Raymond D Gritton, MD
• Catherine Lynn Gruman
• Junjia Gu
• Anai Guerra
• Michelle Ling Guerra
• Janyther Guerrero Arenas

• Hand Occupational Therapist in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.