Bettina E Grundler, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201003549 Issued in MI

Practice address

3905 Lorraine Path
Saint Joseph, MI 49085-8630

Phone

(269) 428-1111

NPI assigned

Jun 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1114659836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 W PALMER DR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205052",
            "telephone_number": "801-608-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 LORRAINE PATH",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858630",
            "telephone_number": "269-428-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDLER",
        "first_name": "BETTINA",
        "middle_name": "E",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201003549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Jane Griffiths, T.L.L.P.
• Rhonda Y Griffiths, N.P.
• Melinda Joy Grimm
• Shannon L Groh, L.P.C.
• Jeffrey Grondin, M.D.
• Meghan Guntz, LMSW
• Alexander Gutfraynd, D.O.
• Dominique Jay Gutierrez, MD
• Hackett Chiropractic, LLC
• Bruce Patrick Hackworth, PHD

• Occupational Therapist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.