Sierra Grace Wells, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00942600 Issued in NJ

Practice address

7 Lincoln Hwy Ste 101a
Edison, NJ 08820-3965

Phone

(732) 662-1800

Fax

(732) 662-1801

NPI assigned

Aug 17, 2020

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)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Innovative Diagnostics Laboratory LLC

  • Clinical Medical Laboratory
  • Edison, NJ
  • NPI 1184311367
  NPD
• Anil K Gupta MD PA

  • Cardiovascular Disease Physician
  • Toms River, NJ
  • NPI 1669459319
  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1215548839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LINCOLN HIGHWAY #101A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-662-1800",
            "fax_number": "732-662-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LINCOLN HWY STE 101A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203965",
            "telephone_number": "732-662-1800",
            "fax_number": "732-662-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "SIERRA",
        "middle_name": "GRACE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00942600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellcare Pain and Rehab, LLC
• Wellfit Medical Supply LLC
• Wellnessexpress Urgent Care Limited Liability Company
• David Wells-Roth, MD
• Kevin Wells
• Welltower Opco Group LLC
• Welltower Opco Group LLC
• Christine Marie Welsch, NP
• Sarah West, PH.D.
• Mary Jean Weston, LCSW

• Occupational Therapist in Edison, NJ
• Providers in Edison, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.