Active NPI
Jennifer Grayston, OT
- Occupational Therapist
- Fort Smith, AR
National Provider Identifier
1225045966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- O-T0624
- Practice address
- 3304 S M St
Fort Smith, AR 72903-2903 - Phone
- (479) 785-4677
- NPI assigned
- Aug 2, 2006
- 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 | O-T0624 | AR | Primary |
Addresses
Primary practice location
3304 S M St
Fort Smith, AR 72903-2903
Mailing address
530 N 44TH St
Fort Smith, AR 72903-1925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
117 Baronne Way
Maumelle, AR 72113-7301
2508 Roxbury LN
Fort Smith, AR 72908-9136
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-T0624 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225045966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 N 44TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729031925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3304 S M ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729032903",
"telephone_number": "479-785-4677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYSTON",
"first_name": "JENNIFER",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "O-T0624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.