Kristi Michelle Grant, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.5167 Issued in SC

Practice address

9100 Medcom St
North Charleston, SC 29406-9167

Phone

(843) 572-2663

NPI assigned

Sep 28, 2020

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4

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.

• South Carolina Sports Medicine & Orthopaedic Center

  • Sports Medicine (Orthopaedic Surgery) Physician
  • N Charleston, SC
  • NPI 1922111715
  NPD

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1407463003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 MEDCOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 MEDCOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069167",
            "telephone_number": "843-572-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KRISTI",
        "middle_name": "MICHELLE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "OTA.5167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalise Graham
• Charles Dudley Graham, MD
• Clarissa Graham
• Tyehimba Salim Grant Amar Bey, CERTIFIED HAIR LOSS
• Alyssa Howard Grant, PA-C
• Sheila Grant
• Amy Fingar Graves, RN
• Luenetta Annette Grayson
• Dennis Jason Green, IDC
• Jennifer A Green, ED.S.

• Occupational Therapy Assistant in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.