Individual provider Active NPI

Grace Elizabeth Muppidi, OTD,OTR/L

  • Occupational Therapist
  • Pleasanton, CA
National Provider Identifier
1396564043
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
26972 Issued in CA
Practice address
4637 Chabot Dr Ste 118
Pleasanton, CA 94588-2749
Phone
(480) 729-5700
NPI assigned
Oct 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 26972 CA Primary

Addresses

Primary practice location

4637 Chabot Dr Ste 118
Pleasanton, CA 94588-2749

Mailing address

30972 Faircliff St
Hayward, CA 94544-7439
Phone (925) 393-9404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617002935 WA Practitioner - Occupational Therapist in Private Practice 5395256259 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince May 1, 2025 Accepting new patients
Multicare Health System CurrentSince May 1, 2025 Accepting new patients
Integrated Pediatric Therapy CurrentSince Jun 23, 2025 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

4637 Chabot Dr
Ste 118
Pleasanton, CA 94588
Phone (425) 753-4999

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

1909 S 72nd St
Ste A1
Tacoma, WA 98408

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1396564043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30972 FAIRCLIFF ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447439",
            "telephone_number": "925-393-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 CHABOT DR STE 118",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882749",
            "telephone_number": "480-729-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUPPIDI",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH",
        "credential": "OTD,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "26972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.