Antonia Eleni Grajeda, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

534 E Pine St Ste a
Stockton, CA 95204-5536

Phone

(209) 463-5800

Fax

(209) 463-5900

NPI assigned

Jul 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Antonia Eleni Stavrianoudakis Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andersen Physical Therapy IncGroup PAC ID 3678520244, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Andersen Physical Therapy, Inc

  • Physical Therapist
  • Modesto, CA
  • NPI 1225029630

  CA, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Andersen Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Turlock, CA
  • NPI 1891520185
  NPD

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1326525593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 E PINE ST STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045536",
            "telephone_number": "209-463-5800",
            "fax_number": "209-463-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 E PINE ST STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045536",
            "telephone_number": "209-463-5800",
            "fax_number": "209-463-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 S Fairmont Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952405105",
            "country_code": "US",
            "telephone_number": "209-339-1690",
            "fax_number": "209-339-1693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAJEDA",
        "first_name": "ANTONIA",
        "middle_name": "ELENI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIA",
            "last_name": "STAVRIANOUDAKIS",
            "middle_name": "ELENI",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Graham, FNP-C
• Edward Thomas Graham, DDS
• Paige Graham
• Mercedes Grajales-Zweigle, MD
• Jessica Grajeda Burgos
• Madeline Jean Grames
• Marisol Granados Villagran
• Briana Ladawn Granados
• Gabriel Granja
• Stephany Granja

• Occupational Therapist in Stockton, CA
• Providers in Stockton, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.