Individual provider Active NPI

Melissa Grady, COTA

  • Occupational Therapy Assistant
  • Nashville, TN
National Provider Identifier
1225518145
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2463 Issued in TN
Practice address
1451 Elm Hill Pike Ste 300
Nashville, TN 37210-5512
Phone
(615) 366-6060
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X A5840 KY
Occupational Therapy Assistant 224Z00000X 2463 TN Primary

Addresses

Primary practice location

1451 Elm Hill Pike Ste 300
Nashville, TN 37210-5512

Mailing address

2701 Butler Rd
Elkton, KY 42220-9729
Phone (270) 604-4377

Other practice location 1

2701 Butler Rd
Elkton, KY 42220-9729
Phone (270) 604-4377

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

LicenseStateTypeSpecialty
2463TNMDClinical Psychologist
A5840KYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1225518145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 BUTLER RD",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422209729",
            "telephone_number": "270-604-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 ELM HILL PIKE STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372105512",
            "telephone_number": "615-366-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "KY",
            "postal_code": "422209729",
            "country_code": "US",
            "telephone_number": "270-604-4377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADY",
        "first_name": "MELISSA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "A5840",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "2463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.