Individual provider Active NPI

Tamara Grynheim

  • Pediatric Occupational Therapist
  • Spring Valley, NY
National Provider Identifier
1447528781
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
007355 Issued in NY
Practice address
972 Chestnut Ridge Rd
Spring Valley, NY 10977-6609
Phone
(845) 352-3307
Fax
(845) 352-3375
NPI assigned
Dec 1, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 007355 NY
Pediatric Occupational Therapist 225XP0200X 007355 NY Primary

Addresses

Primary practice location

972 Chestnut Ridge Rd
Spring Valley, NY 10977-6609

Mailing address

972 Chestnut Ridge Rd
Spring Valley, NY 10977-6609
Phone (845) 352-3307

Other names 1

  • Tamara Wolfset Former 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

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1447528781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 CHESTNUT RIDGE RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109776609",
            "telephone_number": "845-352-3307",
            "fax_number": "845-352-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 CHESTNUT RIDGE RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109776609",
            "telephone_number": "845-352-3307",
            "fax_number": "845-352-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYNHEIM",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007355",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "007355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "WOLFSET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.