Active NPI
Asha Grisby
- Occupational Therapist
- Milwaukee, WI
National Provider Identifier
1346664380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4538-26
- Practice address
- 316 N Milwaukee St
Suite 208
Milwaukee, WI 53202-5885 - Phone
- (414) 615-0665
- Fax
- (414) 615-0667
- NPI assigned
- Feb 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4538-26 | WI | Primary |
Addresses
Primary practice location
316 N Milwaukee St
Suite 208
Milwaukee, WI 53202-5885
Mailing address
11052 W Maple LN
Wauwatosa, WI 53225-4428
Phone (414) 615-0665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346664380 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4538-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1346664380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11052 W MAPLE LN",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532254428",
"telephone_number": "414-615-0665",
"fax_number": "414-615-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 N MILWAUKEE ST",
"address_2": "SUITE 208",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532025885",
"telephone_number": "414-615-0665",
"fax_number": "414-615-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRISBY",
"first_name": "ASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-11",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4538-26",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346664380",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.