Mackenzie Rose Griffin, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

26126 Issued in CA

Practice address

3621 Park Blvd Apt H
San Diego, CA 92103-4500

Phone

(949) 632-0280

NPI assigned

May 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1366291171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 PARK BLVD APT H",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034500",
            "telephone_number": "949-632-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 PARK BLVD APT H",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034500",
            "telephone_number": "949-632-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MACKENZIE",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "26126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Deanne Griffin
• Ellen L Griffin, LMFT
• Issac Griffin
• Joshua M Griffin
• Kara Hope Griffin
• Meghan Ulla Griffin, L.AC.
• Michael John Griffin, CMA
• Sara Griffin
• Seth L. Griffin, CRNA
• Shane Michael Griffin

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.