Denise L Gravois, OTR/L, CHT

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT 04292 Issued in OH

Practice address

594 Asbury Dr
Ste a
Mandeville, LA 70471-4101

Phone

(985) 674-4170

Fax

(985) 674-4172

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverbend Physical Therapy LLCGroup PAC ID 3173885472, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Riverbend Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Metairie, LA
  • NPI 1427560721

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• City Park Physical Therapy, LLC

  • Physical Therapist
  • New Orleans, LA
  • NPI 1003178393

  Occupational Therapist

  Medicare reassignment NPD
• Rehab Access LLC

  • Physical Therapist
  • Terrytown, LA
  • NPI 1699840520
  Medicare reassignment
• Rehab Access LLC

  • Hand Occupational Therapist
  • Metairie, LA
  • NPI 1699623298
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1366400616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 ASBURY DR",
            "address_2": "STE A",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704714101",
            "telephone_number": "985-674-4170",
            "fax_number": "985-674-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 ASBURY DR",
            "address_2": "STE A",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704714101",
            "telephone_number": "985-674-4170",
            "fax_number": "985-674-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVOIS",
        "first_name": "DENISE",
        "middle_name": "L",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "OT 04292",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OT 004292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Family Dentistry. Com
• Melissa Grand
• William B Grand, D.D.S.
• Brandeaux Grant
• Tyler Gravley
• Gray Medical Supplies LLC
• Jarvious Grayson
• Mia Greco
• David Taggart Green, DPH
• Jaleine Toinette Green, LPN

• Specialist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.