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

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

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.

• Jaclyn Grad OT LLC

  • 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

• 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.