Kristi Rae Grainger

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA19235 Issued in FL

Practice address

113 W Chapman Rd
Oviedo, FL 32765-8895

Phone

(407) 579-9181

NPI assigned

Dec 19, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1184336497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11461 LAKE BUTLER BLVD",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867814",
            "telephone_number": "407-579-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W CHAPMAN RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658895",
            "telephone_number": "407-579-9181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11461 Lake Butler Blvd",
            "address_purpose": "LOCATION",
            "city": "Windermere",
            "state": "FL",
            "postal_code": "347867814",
            "country_code": "US",
            "telephone_number": "407-579-9181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAINGER",
        "first_name": "KRISTI",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA19235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0735932081",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristi.grainger@my.ahu.edu",
            "affiliation": "N",
            "endpointDescription": "mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "office",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "in office",
            "address_1": "11461 Lake Butler Blvd",
            "city": "Windermere",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347867814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Good Vibes Counseling LLC
• Kalyra Ananda S Goodrich
• Laurie Anne Gordon
• Alyssa Gould
• Morly Gourdet, RBT
• Kathryn Michelle Graves, ARNP
• April Shanta Gray, FNP-BC
• Greater Changes LLC.
• Miranda A Greene, OTR/L
• Gregory Cofano, D.C., LLC

• Occupational Therapy Assistant in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.