Individual provider Active NPI

Graycie Paige Gramm, OTAS

  • Occupational Therapy Assistant
  • Tulsa, OK
National Provider Identifier
1295573400
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2666 Issued in OK
Practice address
14002 E 21St St Ste 650
Tulsa, OK 74134-1432
Phone
(918) 274-7902
Fax
(918) 512-2120
NPI assigned
Jul 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2666 OK Primary

Addresses

Primary practice location

14002 E 21St St Ste 650
Tulsa, OK 74134-1432

Mailing address

17784 S Highway 48
Bristow, OK 74010-2119
Phone (918) 998-4902

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
2666OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eastgate Metroplex Therapy LLC CurrentSince Jul 21, 2024 Accepting new patients
Hope for Tulsa CurrentSince Jul 21, 2024 Accepting new patients

Locations

14002 E 21st St
Ste 650
Tulsa, OK 74134
Phone (918) 274-7902

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1295573400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17784 S HIGHWAY 48",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "740102119",
            "telephone_number": "918-998-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14002 E 21ST ST STE 650",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741341432",
            "telephone_number": "918-274-7902",
            "fax_number": "918-512-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMM",
        "first_name": "GRAYCIE",
        "middle_name": "PAIGE",
        "credential": "OTAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.