Krysta Ann Grande, BA, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP009745 Issued in PA

Practice address

3260 Tillman Dr Ste 117
Bensalem, PA 19020-2058

Phone

(267) 332-2989

NPI assigned

Aug 26, 2024

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• Theraplay, LLC

  • Clinic/Center
  • West Chester, PA
  • NPI 1982032793
  NPD (past)

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1295569051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 CAROLINE AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091441",
            "telephone_number": "609-680-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 TILLMAN DR STE 117",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202058",
            "telephone_number": "267-332-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "KRYSTA",
        "middle_name": "ANN",
        "credential": "BA, COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP009745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subbarao Gorti, M.D.
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• Grace Anne Kuzara DPM
• Grand Plaza Pharmacy Inc
• Noelle Grebe
• Danielle Yvette Green-Alston, MA
• Greengo Supreme LLC
• Gregory Dental Associates, P.C.
• Christina Ann Gregory, D.M.D.

• Occupational Therapy Assistant in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.