Active NPI
Debbie Beth Gruber, COTA
- Occupational Therapy Assistant
- Rochester, NY
National Provider Identifier
1093022444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 004353-1
- Practice address
- 100 Groton Pkwy
Rochester, NY 14623-4540 - Phone
- (585) 359-3710
- Fax
- (585) 359-3722
- NPI assigned
- Sep 7, 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 Therapy Assistant | 224Z00000X | 004353-1 | NY | Primary |
Addresses
Primary practice location
100 Groton Pkwy
Rochester, NY 14623-4540
Mailing address
100 Groton Pkwy
Rochester, NY 14623-4540
Phone (585) 359-3710
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 |
|---|---|---|---|
| 004353-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1093022444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GROTON PKWY",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234540",
"telephone_number": "585-359-3710",
"fax_number": "585-359-3722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GROTON PKWY",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234540",
"telephone_number": "585-359-3710",
"fax_number": "585-359-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "DEBBIE",
"middle_name": "BETH",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "004353-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.