Active NPI
Jamie Grede
- Occupational Therapist
- Clearwater, FL
National Provider Identifier
1285280420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16004
- Practice address
- 13630 58TH St N Ste 103B
Clearwater, FL 33760-3734 - Phone
- (727) 530-1201
- NPI assigned
- Aug 14, 2019
- Last updated
- Aug 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 16004 | FL | Primary |
Addresses
Primary practice location
13630 58TH St N Ste 103B
Clearwater, FL 33760-3734
Mailing address
4824 N River Blvd
Tampa, FL 33603-1928
Phone (920) 207-5626
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16004 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1285280420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4824 N RIVER BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336031928",
"telephone_number": "920-207-5626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13630 58TH ST N STE 103B",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603734",
"telephone_number": "727-530-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREDE",
"first_name": "JAMIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-14",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "16004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
- Greater Florida Anesthesiologists, LLC
- Greater Florida Anesthesiologists, LLC
- Greater Florida Anesthesiologists, LLC
- Greater Florida Anesthesiologists, LLC
- Joseph F Greco, PH.D., P.A./C
- Angela-Theresa C Green, APRN
- Jan Denise Green, APRN
- Zachary Robert Green
- Greenbrook TMS Clearwater LLC
- Dawn Greene-Putulin, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.