Jaclyn Grad

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009283 Issued in MI

Practice address

9326 Florida St
Livonia, MI 48150-3800

Phone

(248) 724-8523

NPI assigned

Sep 17, 2015

Last updated

Mar 4, 2021By the provider in NPPES

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

Other names 1

• Jaclyn Must Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jaclyn Grad OT LLC

  dba Grow With Me OT

  • Occupational Therapist
  • Livonia, MI
  • NPI 1235817206
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1144699448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9326 FLORIDA ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503800",
            "telephone_number": "248-724-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9326 FLORIDA ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503800",
            "telephone_number": "248-724-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAD",
        "first_name": "JACLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "MUST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle L Gough
• Amya Gould
• Bryant Gerarde Goulet, LMSW
• Katherine Goulet
• Christy Lynn Goward, AG-CNS
• Jasmine Grady
• Sharon Graff, C.N.P
• Keith Edward Graham, CERTIFIED PEER RECOV
• Robert Keith Graham, DCSW
• Grandi Cancelli 2, LLC (Sage NeuroWellness)

• Occupational Therapist in Livonia, MI
• Providers in Livonia, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.