Active NPI
Carissa Grande
- Occupational Therapist
- Port Royal, SC
National Provider Identifier
1437543030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT01500
- Practice address
- 1873 N Paris Ave
Port Royal, SC 29935-2029 - Phone
- (843) 815-6999
- NPI assigned
- Mar 23, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT01500 | RI | Primary |
Addresses
Primary practice location
1873 N Paris Ave
Port Royal, SC 29935-2029
Mailing address
29 Plantation Park Dr Ste 403
Bluffton, SC 29910-9006
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT01500 | RI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowcountry Therapy Center, LLC | Occupational Therapist | Past | Accepting new patients |
| Lowcountry Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Occupational Therapist
- Bluffton, SC
- NPI 1255622056
-
- Speech-Language Pathologist
- Bluffton, SC
- NPI 1245554104
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1437543030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 PLANTATION PARK DR STE 403",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299109006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1873 N PARIS AVE",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299352029",
"telephone_number": "843-815-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDE",
"first_name": "CARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-23",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT01500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Royal, SC
- Arianne M Fredrickson, PA-C
- Fresenius Medical Care Beaufort County, LLC (FMC Dialysis Services Low Country Dialysis)
- Genesis Eldercare Rehabilitation Services LLC (Genesis Rehabilitation Services)
- Ashton Marie Giammona, PA-C
- Jessie Pernell Goethie, DNP, APRN, FNP-C
- Grist Mill Partners LLC
- Candace M Grose, OT
- Gynecology Associates of Beaufort PC
- Jessica Henderson
- Kayla Lynn Hill, MS, CF-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.