Active NPI
Nicole Gravalis
- Occupational Therapist
- Nashville, TN
National Provider Identifier
1457910796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 501 Metroplex Dr Ste 308
Nashville, TN 37211-3148 - Phone
- (615) 614-8833
- NPI assigned
- Jun 11, 2019
- Last updated
- Jul 27, 2022
- 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 | NU | Primary |
Addresses
Primary practice location
501 Metroplex Dr Ste 308
Nashville, TN 37211-3148
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Other practice location 1
90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007
Other practice location 2
1210 Wilhelmina Rise Ste B
Honolulu, HI 96816-3287
Phone (808) 260-9056
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbott & Burkhart Therapy | Past | Accepting new patients | |
| Sprouts Therapy LLC | Past | Accepting new patients | |
| Jones Therapy Services LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Associates in Pediatric Therapy
- Pediatric Rehabilitation Medicine Physician
- Murfreesboro, TN
- NPI 1811213556
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Ventura, CA
- NPI 1376766147
-
- Pediatric Occupational Therapist
- Waipahu, HI
- NPI 1760766869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1457910796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOWARD DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 METROPLEX DR STE 308",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372113148",
"telephone_number": "615-614-8833"
}
],
"practiceLocations": [
{
"address_1": "90 Howard Dr",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "KY",
"postal_code": "400658138",
"country_code": "US",
"telephone_number": "502-633-1007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1210 Wilhelmina Rise Ste B",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968163287",
"country_code": "US",
"telephone_number": "808-260-9056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAVALIS",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.