Jennifer Ann Grimes, COTAL

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0730000185 Issued in VT

Practice address

49 Cedar Hill Drive
Windsor, VT 05089

Phone

(802) 674-6609

NPI assigned

Feb 13, 2008

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2008.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1235307133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 N 19TH AV",
            "address_2": "SUITE 200 SYNERTX REHABILITATION",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85021",
            "telephone_number": "888-873-4221",
            "fax_number": "888-543-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CEDAR HILL DRIVE",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "05089",
            "telephone_number": "802-674-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "COTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VT",
            "license": "0730000185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Findlay, LCMHC, MA
• Alan Joseph Frascoia, M.D.
• Jerrica Gaudreau
• Kathleen A Geagan, MD
• Dale S Gephart, MD
• Alden W Hall, MD
• Amy Elizabeth Halley, PT
• Sherry Hallock
• Linda Hazard, PT
• Health Care & Rehabilitation Services

• All providers in Windsor, VT
• Occupational Therapy Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.