Marsha Kay Grim, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

000862 Issued in IA

Practice address

12251 Highway 41 N Ste a
Evansville, IN 47725-7043

Phone

(812) 868-1224

Fax

(186) 671-5973

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1417515560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SWEDE POINT DR",
            "city": "MADRID",
            "state": "IA",
            "postal_code": "501567614",
            "telephone_number": "217-491-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 HIGHWAY 41 N STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477257043",
            "telephone_number": "812-868-1224",
            "fax_number": "186-671-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIM",
        "first_name": "MARSHA",
        "middle_name": "KAY",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IA",
            "license": "000862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.trurehabllc.com",
            "affiliation": "N",
            "endpointDescription": "www.trurehabllc.com",
            "address_1": "12251 Highway 41 N Ste A",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477257043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaimie Renee Gries
• Kendra Gries, PHARMD
• Sarah Elizabeth Gries, OTR
• Nancy Griffith
• Alyssa Griggs, MSW, LCSW
• Jennifer Grimes
• John O. Grimm, M.D.
• Paula Marie Grimwood
• Christina Griner, PHARMD
• Delight J Griswold, NP MSN APN BC

• Occupational Therapy Assistant in Evansville, IN
• Providers in Evansville, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.