Individual provider Active NPI

Grace Middlestadt

  • Occupational Therapist
  • Owings Mills, MD
National Provider Identifier
1104707983
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10578 Issued in MD
Practice address
7 Gwynns Mill CT Ste I
Owings Mills, MD 21117-3528
Phone
(410) 849-9496
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10578 MD Primary

Addresses

Primary practice location

7 Gwynns Mill CT Ste I
Owings Mills, MD 21117-3528

Mailing address

7 Gwynns Mill CT Ste I
Owings Mills, MD 21117-3528

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

LicenseStateTypeSpecialty
10578MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charm City Therapy CurrentSince Sep 14, 2025 Accepting new patients

Locations

7 Gwynns Mill Ct
Ste I
Owings Mills, MD 21117
Phone (410) 443-7021

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": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1104707983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GWYNNS MILL CT STE I",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GWYNNS MILL CT STE I",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173528",
            "telephone_number": "410-849-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLESTADT",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "10578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.