Individual provider Active NPI

Cheryl Lynn Grava, OT

  • Occupational Therapist
  • Holly, MI
National Provider Identifier
1134437858
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201003248 Issued in MI
Practice address
10293 Dixie Hwy
Suite O
Holly, MI 48442-9210
Phone
(810) 771-7685
Fax
(810) 771-7686
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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 5201003248 MI Primary

Addresses

Primary practice location

10293 Dixie Hwy
Suite O
Holly, MI 48442-9210

Mailing address

10293 Dixie Hwy
Suite O
Holly, MI 48442-9210
Phone (810) 771-7685

Other names 1

  • Cheryl Lynn Haskins Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Level Eleven Howell, LLC CurrentSince Sep 24, 2023 Accepting new patients
Level Eleven Saginaw, LLC CurrentSince Oct 1, 2023 Accepting new patients
My Community Resource House and Garden Occupational Therapist PastSince Feb 2, 2023 Accepting new patients

Locations

1030 W Highland Rd
Howell, MI 48843
Phone (517) 546-9000

5815 Bay Rd
Ste 400
Saginaw, MI 48604
Phone (989) 447-2538

Organizations & group practices 3

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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1134437858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10293 DIXIE HWY",
            "address_2": "SUITE O",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484429210",
            "telephone_number": "810-771-7685",
            "fax_number": "810-771-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10293 DIXIE HWY",
            "address_2": "SUITE O",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484429210",
            "telephone_number": "810-771-7685",
            "fax_number": "810-771-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVA",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201003248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "HASKINS",
            "middle_name": "LYNN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holly, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.