Active NPI
Lydia Grace Gruber, OTD
- Occupational Therapist
- Parker, CO
National Provider Identifier
1265120018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0007869
- Practice address
- 19284 Cottonwood Dr Ste 203
Parker, CO 80138-3881 - Phone
- (720) 788-7365
- Fax
- (720) 294-1426
- NPI assigned
- Apr 28, 2023
- Last updated
- Apr 28, 2023
- Sex
- Female
- 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 | OT.0007869 | CO | Primary |
Addresses
Primary practice location
19284 Cottonwood Dr Ste 203
Parker, CO 80138-3881
Mailing address
2 Oakwood Park PLZ Ste 200
Castle Rock, CO 80104-1885
Phone (720) 788-7365
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 |
|---|---|---|---|
| OT.0007869 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Pathways Inc | Occupational Therapist | Past | Accepting new patients |
| Rehabilitation Pathways Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Occupational Therapist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1265120018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 OAKWOOD PARK PLZ STE 200",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041885",
"telephone_number": "720-788-7365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19284 COTTONWOOD DR STE 203",
"city": "PARKER",
"state": "CO",
"postal_code": "801383881",
"telephone_number": "720-788-7365",
"fax_number": "720-294-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "LYDIA",
"middle_name": "GRACE",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-28",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0007869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.