Active NPI
Gina Mia Di Grazia, OTR/L, COMS, CLVT
- Orientation and Mobility Training Rehabilitation Counselor
- San Francisco, CA
National Provider Identifier
1427188838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orientation and Mobility Training Rehabilitation Counselor
- License
- AVCREP CERT. 4898
- Practice address
- 165 1/2 Chattanooga St
San Francisco, CA 94114-3438 - Phone
- (415) 846-6266
- NPI assigned
- Mar 6, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orientation and Mobility Training Rehabilitation Counselor | 225CX0006X | AVCREP CERT. 4898 | Primary | |
| Occupational Therapist | 225X00000X | OT5361 | CA | |
| Low Vision Occupational Therapist | 225XL0004X | OT 5361 | CA |
Addresses
Primary practice location
165 1/2 Chattanooga St
San Francisco, CA 94114-3438
Mailing address
165 1/2 Chattanooga St
San Francisco, CA 94114-3438
Phone (415) 846-6266
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT 5361 | Other | CA | CA BOARD OF OT |
| 5466 | Other | ACVREP | |
| 4898 | Other | ACVREP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4898 | AZ | MD | Clinical Neuropsychologist |
| OT5361 | CA | MD | Occupational Therapist |
| OT 5361 | CA | MD | Low Vision Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1427188838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 1/2 CHATTANOOGA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941143438",
"telephone_number": "415-846-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 1/2 CHATTANOOGA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941143438",
"telephone_number": "415-846-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI GRAZIA",
"first_name": "GINA",
"middle_name": "MIA",
"name_prefix": "Ms.",
"credential": "OTR/L, COMS, CLVT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225CX0006X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
"state": null,
"license": "AVCREP CERT. 4898",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT5361",
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "CA",
"license": "OT 5361",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BOARD OF OT",
"identifier": "OT 5361",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACVREP",
"identifier": "5466",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACVREP",
"identifier": "4898",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.