Active NPI
Grace Elizabeth Muppidi, OTD,OTR/L
- Occupational Therapist
- Pleasanton, CA
National Provider Identifier
1396564043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 26972
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Integrated Pediatric Therapy | Current | 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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Pediatric Occupational Therapist
- Pleasanton, CA
- NPI 1760070130
-
- Hospitalist Physician
- Tacoma, WA
- NPI 1134176647
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
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.