Active NPI
Lenin Cardenas Grajo, ED.M., OTR/L, OTRP
- Occupational Therapist
- Austin, TX
National Provider Identifier
1104131341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 113775
- Practice address
- 6507 Jester Blvd.
Suite 309
Austin, TX 78750 - Phone
- (512) 343-1200
- NPI assigned
- Aug 12, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 113775 | TX | Primary |
Addresses
Primary practice location
6507 Jester Blvd.
Suite 309
Austin, TX 78750
Mailing address
6804 North Capital of Texas Hwy
Apt. 325
Austin, TX 78731
Phone (614) 530-5013
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 |
|---|---|---|---|
| 113775 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1104131341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6804 NORTH CAPITAL OF TEXAS HWY",
"address_2": "APT. 325",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "614-530-5013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6507 JESTER BLVD.",
"address_2": "SUITE 309",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78750",
"telephone_number": "512-343-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAJO",
"first_name": "LENIN",
"middle_name": "CARDENAS",
"name_prefix": "Mr.",
"credential": "ED.M., OTR/L, OTRP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-12",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.