Grand Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

07253 Issued in MD

Legal business name

GRAND THERAPY LLC

Practice address

3701 Durley LN # Me
Gwynn Oak, MD 21207-3855

Phone

(757) 803-8731

NPI assigned

Feb 22, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly Sharri Townsend, M.S., OTR/L

Title

Owner/Occupational Therapist

Phone

(757) 803-8731

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Grand Therapy, LLC Former legal business name

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1225539604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 DURLEY LN",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212073855",
            "telephone_number": "757-803-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 DURLEY LN # ME",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212073855",
            "telephone_number": "757-803-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SHARRI",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "757-803-8731",
        "authorized_official_credential": "M.S., OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1356849624",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL",
            "identifier": "$$$$$$$$$",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Occupational Therapist in Gwynn Oak, MD
• Providers in Gwynn Oak, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.