Active NPI
Thomas E Grosse, OTA-02701
- Occupational Therapy Assistant
- Hamilton, OH
National Provider Identifier
1184947202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-2701
- Practice address
- 1151 Chase Ave
Hamilton, OH 45015-1820 - Phone
- (513) 889-1713
- NPI assigned
- Mar 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA-2701 | OH | Primary |
Addresses
Primary practice location
1151 Chase Ave
Hamilton, OH 45015-1820
Mailing address
1151 Chase Ave
Hamilton, OH 45015-1820
Phone (513) 889-1713
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA-2701 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1184947202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 CHASE AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450151820",
"telephone_number": "513-889-1713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 CHASE AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450151820",
"telephone_number": "513-889-1713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSE",
"first_name": "THOMAS",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "OTA-02701",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-03",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "OTA-2701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.