Individual provider Active NPI

Weltha Jane Grant, PH.D., OTR/L, CHT

  • Occupational Therapist
  • Swarthmore, PA
National Provider Identifier
1407173222
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC003841L Issued in PA
Practice address
100 Park Ave
1St Floor, Rear
Swarthmore, PA 19081-1727
Phone
(484) 433-9067
NPI assigned
May 4, 2010
Last updated
May 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2010

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 OC003841L PA Primary

Addresses

Primary practice location

100 Park Ave
1St Floor, Rear
Swarthmore, PA 19081-1727

Mailing address

24 Mulberry LN
Newtown Square, PA 19073-4604
Phone (610) 353-6969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
OC003841LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1407173222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MULBERRY LN",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734604",
            "telephone_number": "610-353-6969",
            "fax_number": "610-353-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "address_2": "1ST FLOOR, REAR",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811727",
            "telephone_number": "484-433-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "WELTHA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PH.D., OTR/L, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003841L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swarthmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.