Carla Guidry Gravenkemper, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

107696 Issued in TX

Practice address

8615 Freeport Pkwy Ste 225
Irving, TX 75063-1984

Phone

(972) 812-3299

Fax

(866) 861-4265

NPI assigned

Aug 10, 2007

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

Other names 1

• Carla Guidry Gravenkemper Professional name

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": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1295927598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6437 CASTLEMERE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938012",
            "telephone_number": "972-473-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 FREEPORT PKWY STE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750631984",
            "telephone_number": "972-812-3299",
            "fax_number": "866-861-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVENKEMPER",
        "first_name": "CARLA",
        "middle_name": "GUIDRY",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "107696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "GRAVENKEMPER",
            "middle_name": "GUIDRY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Wong Granger, DPT
• Aja Grant, PT, DPT
• Aliesa Grant
• Elisabeth Lemoyne Grant, M.D.
• Betty Chung Grasty, MD
• Debrah Graver, CCC-SLP
• Marquita Latoya Graves
• Nagee Graves, M.A., LPC
• Abbey Gray, MS, CCC-SLP
• Macie Gray, MOT, OTR

• Occupational Therapist in Irving, TX
• Providers in Irving, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.