Active NPI
Janie Grant, OT
- Occupational Therapist
- Corte Madera, CA
National Provider Identifier
1114589272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 19097
- Practice address
- 500 Tamal PLZ Ste 525&527
Corte Madera, CA 94925-1151 - Phone
- (415) 531-3027
- Fax
- (941) 655-8839
- NPI assigned
- Jun 28, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 19097 | CA | Primary |
Addresses
Primary practice location
500 Tamal PLZ Ste 525&527
Corte Madera, CA 94925-1151
Mailing address
301 North Ave Unit 102
San Rafael, CA 94903-5557
Phone (818) 640-3359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19097 | Other | CA | OCCUPATIONAL THERAPIST LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.littlehandsot.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1114589272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 NORTH AVE UNIT 102",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949035557",
"telephone_number": "818-640-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 TAMAL PLZ STE 525&527",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251151",
"telephone_number": "415-531-3027",
"fax_number": "941-655-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "JANIE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-28",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "19097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST LICENSE",
"identifier": "19097",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.littlehandsot.com",
"affiliation": "N",
"address_1": "500 Tamal Plz Ste 525&527",
"city": "Corte Madera",
"state": "CA",
"country_code": "US",
"postal_code": "949251151",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.