Active NPI
John V Grattolino, OTRL
- Occupational Therapist
- Elmira, NY
National Provider Identifier
1245508233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0044731
- Practice address
- 459 Philo Rd
Elmira, NY 14903-1051 - Phone
- (607) 739-3581
- NPI assigned
- Dec 6, 2011
- Sex
- Male
- 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 | 0044731 | NY | Primary |
Addresses
Primary practice location
459 Philo Rd
Elmira, NY 14903-1051
Mailing address
205 Martin St
South Waverly, PA 18840-7917
Phone (570) 888-0312
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0044731 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1245508233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 MARTIN ST",
"city": "SOUTH WAVERLY",
"state": "PA",
"postal_code": "188407917",
"telephone_number": "570-888-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 PHILO RD",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149031051",
"telephone_number": "607-739-3581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRATTOLINO",
"first_name": "JOHN",
"middle_name": "V",
"name_prefix": "Mr.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "0044731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.