Individual provider Active NPI

Grace Annetta Knight, O T R

  • Pediatric Occupational Therapist
  • Bronx, NY
National Provider Identifier
1245563980
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
006580-1 Issued in NY
Practice address
1200 Waters Place
Second Floor
Bronx, NY 10461-0000
Phone
(718) 536-3251
Fax
(718) 536-3240
NPI assigned
Sep 14, 2009
Last updated
Sep 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 006580-1 NY
Pediatric Occupational Therapist 225XP0200X 006580-1 NY Primary

Addresses

Primary practice location

1200 Waters Place
Second Floor
Bronx, NY 10461-0000

Mailing address

8234 167TH St
Jamaica, NY 11432-1222
Phone (718) 926-0236

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
006580-1NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1245563980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8234 167TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321222",
            "telephone_number": "718-926-0236",
            "fax_number": "718-969-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PLACE",
            "address_2": "SECOND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104610000",
            "telephone_number": "718-536-3251",
            "fax_number": "718-536-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "GRACE",
        "middle_name": "ANNETTA",
        "name_prefix": "Ms.",
        "credential": "O T R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006580-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "006580-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.