Active NPI
Kristen Grigsby, OTR/L
- Occupational Therapist
- Aurora, CO
National Provider Identifier
1104323609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0004887
- Practice address
- 1700 Wheeling St
Aurora, CO 80045-7211 - Phone
- (720) 635-4723
- NPI assigned
- Apr 11, 2018
- Last updated
- May 20, 2022
- 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 | OT.0004887 | CO | Primary |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 3628 | NM |
Addresses
Primary practice location
1700 Wheeling St
Aurora, CO 80045-7211
Mailing address
1700 Wheeling St
Aurora, CO 80045-7211
Phone (720) 635-4723
Other practice location 1
7000 Jefferson St NE
Albuquerque, NM 87109-4313
Phone (505) 344-9478
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 |
|---|---|---|---|
| 3628 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| OT.0004887 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1104323609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 WHEELING ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800457211",
"telephone_number": "720-635-4723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 WHEELING ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800457211",
"telephone_number": "720-635-4723"
}
],
"practiceLocations": [
{
"address_1": "7000 Jefferson St NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871094313",
"country_code": "US",
"telephone_number": "505-344-9478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIGSBY",
"first_name": "KRISTEN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-11",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0004887",
"primary": true
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NM",
"license": "3628",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.