Active NPI
Olivia Grenon
- Occupational Therapist
- Killeen, TX
National Provider Identifier
1346981719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 122613
- Practice address
- 2300 E Rancier Ave Ste 103
Killeen, TX 76543-3450 - Phone
- (254) 781-3447
- Fax
- (254) 227-6163
- NPI assigned
- Apr 7, 2022
- 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 | 122613 | TX | Primary |
Addresses
Primary practice location
2300 E Rancier Ave Ste 103
Killeen, TX 76543-3450
Mailing address
2300 E Rancier Ave Ste 103
Killeen, TX 76543-3450
Phone (254) 781-3447
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 |
|---|---|---|---|
| 122613 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny Days Sunshine Center Inc | Occupational Therapist | Past | Accepting new patients |
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.
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Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1346981719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 E RANCIER AVE STE 103",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765433450",
"telephone_number": "254-781-3447",
"fax_number": "254-227-6163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 E RANCIER AVE STE 103",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765433450",
"telephone_number": "254-781-3447",
"fax_number": "254-227-6163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRENON",
"first_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-07",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "122613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.