Individual provider Active NPI

Grace Yoon, OTD

  • Occupational Therapist
  • Boynton Beach, FL
National Provider Identifier
1114500535
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT22084 Issued in FL
Practice address
10151 Enterprise Ctr Ste 101
Boynton Beach, FL 33437-3760
Phone
(954) 688-7269
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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 OT22084 FL Primary

Addresses

Primary practice location

10151 Enterprise Ctr Ste 101
Boynton Beach, FL 33437-3760

Mailing address

1800 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4222
Phone (727) 865-4288

Other practice location 1

5458 Town Center Rd Ste 10
Boca Raton, FL 33486-1026
Phone (561) 376-2573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110002251 FL Practitioner - Occupational Therapist in Private Practice 1254701105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pediatric Associates, LLC CurrentSince Aug 30, 2025 Accepting new patients
Florida Pediatric Associates LLC CurrentSince Aug 30, 2025 Accepting new patients

Locations

10151 Entrprs Cntr Blvd
Ste 101
Boynton Beach, FL 33437
Phone (561) 732-2136

7841 Cambridge Manor Pl
Ste C
Fort Myers, FL 33907
Phone (239) 908-3593

100 SE 15th Ave
Ft Lauderdale, FL 33301
Phone (954) 607-1691

4800 N Federal Hwy
Ste 200
Ft Lauderdale, FL 33308
Phone (954) 688-7269

210 Jupiter Lakes Blvd
Bldg 3000
Jupiter, FL 33458
Phone (561) 677-4353

1971 SW 172nd Ave
Ste 3125
Miramar, FL 33029

1800 Dr Martin Luther King St N
St Petersburg, FL 33704
Phone (727) 821-2121

Organizations & group practices 2

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1114500535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044222",
            "telephone_number": "727-865-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR STE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373760",
            "telephone_number": "954-688-7269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5458 Town Center Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334861026",
            "country_code": "US",
            "telephone_number": "561-376-2573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.