Karah Gravallese, MOT, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

14012 Issued in MA

Practice address

607 North Ave # 14
Wakefield, MA 01880-1322

Phone

(781) 245-4446

NPI assigned

Aug 30, 2021

Last updated

Aug 30, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ota Kids Pediatric Therapy

  • Occupational Therapist
  • Wakefield, MA
  • NPI 1811031362

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1164190872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NORTH ST",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018641312",
            "telephone_number": "617-838-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 NORTH AVE # 14",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801322",
            "telephone_number": "781-245-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVALLESE",
        "first_name": "KARAH",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "14012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Gorlovsky, M.D.
• John J. Gorvin, PSY.D.
• Jessica Goulart, PMHNP-BC, FNP-C
• Kristen Lee Graham
• Aliza Catharine Grant, MS, CF-SLP
• Great Pond Dental PC
• Jake Green, MA INTERN
• Paula Elainor Green, CAGS, ME.D
• Timothy J Green, MA CCC/SLP
• Greenwood Pharmacy Inc.

• Pediatric Occupational Therapist in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Pediatric Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.