Active NPI
Jessica Graves
- Occupational Therapist
- Bowling Green, KY
National Provider Identifier
1063874949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00210268
- Practice address
- 1329 Scottsville Rd
H6
Bowling Green, KY 42104-2401 - Phone
- (502) 345-3365
- NPI assigned
- Mar 22, 2016
- Last updated
- Mar 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 00210268 | KY | Primary |
| Occupational Therapist | 225X00000X | 117255 | TX |
Addresses
Primary practice location
1329 Scottsville Rd
H6
Bowling Green, KY 42104-2401
Mailing address
1329 Scottsville Rd
H6
Bowling Green, KY 42104-2401
Phone (502) 345-3365
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 |
|---|---|---|---|
| 00210268 | KY | MD | Occupational Therapist |
| 117255 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1063874949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 SCOTTSVILLE RD",
"address_2": "H6",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421042401",
"telephone_number": "502-345-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 SCOTTSVILLE RD",
"address_2": "H6",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421042401",
"telephone_number": "502-345-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "00210268",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "117255",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
- Graves Gilbert Clinic PLLC (Graves Gilbert Clinic)
- Graves Gilbert Clinic PLLC (Graves Gilbert Clinic)
- Graves Gilbert Clinic PLLC (GGC Healthcare Dispensary - Fairway Walk In Care)
- Graves Gilbert Clinic PLLC (GGC Healthcare Dispensary- Nashville Rd. Primary Care)
- Graves Gilbert Clinic PLLC (GGC Healthcare Dispensary - FCC Walk In Care)
- Deborah Elkin Gravil, APRN
- Anna Faith Gray, DPT
- James T. Gray
- Jennifer Jane Gray, MD
- Rebecca Grayson, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.