Individual provider Active NPI

Gina Mia Di Grazia, OTR/L, COMS, CLVT

  • Orientation and Mobility Training Rehabilitation Counselor
  • San Francisco, CA
National Provider Identifier
1427188838
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orientation and Mobility Training Rehabilitation CounselorTaxonomy code 225CX0006X
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

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OT 5361OtherCACA BOARD OF OT
5466OtherACVREP
4898OtherACVREP

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

LicenseStateTypeSpecialty
4898AZMDClinical Neuropsychologist
OT5361CAMDOccupational Therapist
OT 5361CAMDLow 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.

Verify at the official NPI Registry.