Active NPI
Joella Dawn McGrew, OT
- Pediatric Occupational Therapist
- Allen, TX
National Provider Identifier
1093073058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 110078
- Practice address
- 515 W Main St
Suite 111
Allen, TX 75013-8000 - Phone
- (214) 509-6961
- Fax
- (214) 382-0943
- NPI assigned
- Apr 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 110078 | TX | Primary |
Addresses
Primary practice location
515 W Main St
Suite 111
Allen, TX 75013-8000
Mailing address
515 W Main St
Suite 111
Allen, TX 75013-8000
Phone (214) 509-6961
Other names 1
- Miss Joella Dawn Keith
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 |
|---|---|---|---|
| 110078 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Therapy Zone LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1093073058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W MAIN ST",
"address_2": "SUITE 111",
"city": "ALLEN",
"state": "TX",
"postal_code": "750138000",
"telephone_number": "214-509-6961",
"fax_number": "214-382-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W MAIN ST",
"address_2": "SUITE 111",
"city": "ALLEN",
"state": "TX",
"postal_code": "750138000",
"telephone_number": "214-509-6961",
"fax_number": "214-382-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGREW",
"first_name": "JOELLA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-27",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "110078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOELLA",
"last_name": "KEITH",
"middle_name": "DAWN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.