Jordan Allen Grantz, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131001954 Issued in VA

Practice address

2125 Hilliard Rd
Richmond, VA 23228-4600

Phone

(804) 266-9666

NPI assigned

Jul 3, 2018

Last updated

Jul 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1295221109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9421 EVERETTE CT",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 HILLIARD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232284600",
            "telephone_number": "804-266-9666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13800 Bon Secours Dr",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "23114",
            "country_code": "US",
            "telephone_number": "804-378-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANTZ",
        "first_name": "JORDAN",
        "middle_name": "ALLEN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Daniel Grant, PA-C
• Olivia Elaine Grant, PSY.D.
• Steven Grant, M.D.
• Tracy L Grant, LPC
• Tabbitha Grantham, DDS
• Danielle B Granville, LPC
• Stephen Grasberger, LCSW
• Mario P Grasso II, CRNA
• Jason Michael Graus, ATC
• Mary Katherine Gravely, M.ED.

• Occupational Therapy Assistant in Richmond, VA
• Providers in Richmond, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.