Active NPI
Kristin Grilli, OTD
- Pediatric Occupational Therapist
- Scottsdale, AZ
National Provider Identifier
1356529234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 4257
- Practice address
- 11572 E Cottontail LN
Scottsdale, AZ 85255-5782 - Phone
- (480) 788-4543
- NPI assigned
- Feb 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1352 | NE | |
| Pediatric Occupational Therapist | 225XP0200X | 4257 | AZ | Primary |
Addresses
Primary practice location
11572 E Cottontail LN
Scottsdale, AZ 85255-5782
Mailing address
11572 E Cottontail LN
Scottsdale, AZ 85255-5782
Phone (480) 788-4543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47065477702 | Medicaid | NE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4257 | AZ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare3, Inc. | 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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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1356529234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11572 E COTTONTAIL LN",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555782",
"telephone_number": "480-788-4543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11572 E COTTONTAIL LN",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555782",
"telephone_number": "480-788-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRILLI",
"first_name": "KRISTIN",
"credential": "OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-04",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1352",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "4257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47065477702",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.