Active NPI
Latisha Tavaughna McGraw, MS OTR-L
- Occupational Therapist
- Baltimore, MD
National Provider Identifier
1194988055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 05252
- Practice address
- 200 E North Avenue
Baltimore City Public Schools
Baltimore, MD 21202 - Phone
- (202) 531-1203
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | 05252 | MD | Primary |
Addresses
Primary practice location
200 E North Avenue
Baltimore City Public Schools
Baltimore, MD 21202
Mailing address
3160 Freestone CT
Abingdon, MD 21009-3090
Phone (410) 569-6550
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05252 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1194988055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 FREESTONE CT",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210093090",
"telephone_number": "410-569-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E NORTH AVENUE",
"address_2": "BALTIMORE CITY PUBLIC SCHOOLS",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21202",
"telephone_number": "202-531-1203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRAW",
"first_name": "LATISHA",
"middle_name": "TAVAUGHNA",
"credential": "MS OTR-L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.