Individual provider Active NPI

Erin Grasse, COTA

  • Occupational Therapy Assistant
  • New Castle, IN
National Provider Identifier
1447622857
Registry record updated Oct 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
32002297A Issued in IN
Practice address
4659 N County Road 100 E
New Castle, IN 47362-9018
Phone
(765) 993-0650
NPI assigned
Oct 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32002297A IN Primary

Addresses

Primary practice location

4659 N County Road 100 E
New Castle, IN 47362-9018

Mailing address

4659 N County Road 100 E
New Castle, IN 47362-9018
Phone (765) 993-0650

Other names 1

  • Erin Wolfal 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

State licenses

LicenseStateTypeSpecialty
32002297AINMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445731200000",
    "number": "1447622857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4659 N COUNTY ROAD 100 E",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473629018",
            "telephone_number": "765-993-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4659 N COUNTY ROAD 100 E",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473629018",
            "telephone_number": "765-993-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSE",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-25",
        "last_updated": "2015-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32002297A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "WOLFAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Castle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.