Individual provider Active NPI

Janie Grant, OT

  • Occupational Therapist
  • Corte Madera, CA
National Provider Identifier
1114589272
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
19097 Issued in CA
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

Updated by the provider on Jun 28, 2019

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 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

IdentifierTypeStateIssuer
19097OtherCAOCCUPATIONAL THERAPIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.