Jordan Elizabeth Gray, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

22413 Issued in CA

Practice address

2060 Otay Lakes Rd Ste 270
Chula Vista, CA 91913-1364

Phone

(619) 546-0039

NPI assigned

Sep 7, 2021

Sex

Female

Sole proprietor

No

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)

Not 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.

• Speech Tree Therapy Center

  • Speech-Language Pathologist
  • Chula Vista, CA
  • NPI 1477233856
  NPD
• Speech Tree Speech Therapy Center, Inc.

  dba Speech Tree Therapy Center

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1720334501

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1396414082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5446 SANTA ALICIA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921546700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 OTAY LAKES RD STE 270",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131364",
            "telephone_number": "619-546-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JORDAN",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Diane Grande, PT
• Jacqueline Grant, D.C.
• Theresa Grant, NCSP, ED. S
• Roberto Gratianne, M.D.
• Alexandra Jean Gray, OTR/L
• Maria K Gray, MD
• Wendy Grays, RN
• Kyle Marcus Green, MD
• Laura Louise Green, RN
• Edward William Greene

• Occupational Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.