Individual provider Active NPI

Noelle Lea Grajeda

  • Physical Therapist
  • Cupertino, CA
National Provider Identifier
1316760283
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307132 Issued in CA
Practice address
20823 Stevens Creek Blvd
Cupertino, CA 95014
Phone
(408) 252-6076
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 307132 CA Primary

Addresses

Primary practice location

20823 Stevens Creek Blvd
Cupertino, CA 95014

Mailing address

10205 Parkwood Dr Apt 5
Cupertino, CA 95014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10205 Parkwood Dr
Apt 5
Cupertino, CA 95014-1463

10205 Parkwood Dr Apt
Suite 5
Cupertino, CA 95014-1463

20823 Stevens Creek Blvd
Suite 200
Cupertino, CA 95014-2108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307132CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quinn Orthopedic Physical Therapy Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients

Locations

20823 Stevens Creek Blvd
Ste 200
Cupertino, CA 95014
Phone (408) 252-6076

1590 The Alameda
Ste 110
San Jose, CA 95126
Phone (408) 947-8466

Interoperability endpoints

  • Direct secure messaging: noelle.grajeda.1@19661.direct.athenahealth.com

Organizations & group practices 1

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": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1316760283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 PARKWOOD DR APT 5",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "95014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20823 STEVENS CREEK BLVD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "95014",
            "telephone_number": "408-252-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAJEDA",
        "first_name": "NOELLE",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.