Julie Gronski, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00003223 Issued in WA

Practice address

126 15TH St SE
Puyallup, WA 98372-3409

Phone

(253) 445-8663

Fax

(253) 445-8342

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Julie Jakin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1295842565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15436 BEL RED RD",
            "address_2": "100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525536",
            "telephone_number": "425-644-4100",
            "fax_number": "425-644-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 15TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723409",
            "telephone_number": "253-445-8663",
            "fax_number": "253-445-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONSKI",
        "first_name": "JULIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00033186",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0167467",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8340481",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "JAKIN",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kiara Aimee Gries
• Randall Gray Griffith, ARNP
• Brianna Grimm, LMHCA
• Mary Louise Groda-Lewis, MD
• Stacie Lee Grogan, LMP
• Paul Frank Groschel, PT
• Jessica Dawn Svedberg Grout, LMFTA
• Thomas Glen Grover, PTA
• Mark S Grubb, M.D.
• Nancy A Grubb, MD

• Occupational Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.