Individual provider Active NPI

Joann Rene Grobecker, OT

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1447304084
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1778 Issued in NM
Practice address
8304 Mesa Top Rd NW
Albuquerque, NM 87120-3779
Phone
(505) 459-2934
Fax
(505) 343-1363
NPI assigned
Jan 22, 2007
Last updated
Mar 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1778 NM Primary

Addresses

Primary practice location

8304 Mesa Top Rd NW
Albuquerque, NM 87120-3779

Mailing address

8304 Mesa Top Rd NW
Albuquerque, NM 87120-3779
Phone (505) 459-2934

Other identifiers 1

IdentifierTypeStateIssuer
4268352MedicaidNM

Other names 1

  • J Rene Grobecker Professional name

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

LicenseStateTypeSpecialty
1778NMMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Grobecker Therapy Inc. Specialist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1447304084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8304 MESA TOP RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203779",
            "telephone_number": "505-459-2934",
            "fax_number": "505-343-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8304 MESA TOP RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203779",
            "telephone_number": "505-459-2934",
            "fax_number": "505-343-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBECKER",
        "first_name": "JOANN",
        "middle_name": "RENE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "1778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4268352",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "GROBECKER",
            "middle_name": "RENE",
            "credential": "OT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.