Active NPI
Virginia Grantham, OTR/L
- Occupational Therapist
- Matthews, NC
National Provider Identifier
1477710549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7171
- Practice address
- 1500 Matthews Township Pkwy
Matthews, NC 28105-4656 - Phone
- (765) 430-2065
- NPI assigned
- May 16, 2008
- 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 | 7171 | NC | Primary |
Addresses
Primary practice location
1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Mailing address
4603 Manchineel LN
Monroe, NC 28110-9197
Phone (765) 430-2065
Other names 1
- Ginny Grantham
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 |
|---|---|---|---|
| 7171 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1477710549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4603 MANCHINEEL LN",
"city": "MONROE",
"state": "NC",
"postal_code": "281109197",
"telephone_number": "765-430-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 MATTHEWS TOWNSHIP PKWY",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281054656",
"telephone_number": "765-430-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANTHAM",
"first_name": "VIRGINIA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "7171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GINNY",
"last_name": "GRANTHAM",
"credential": "OTR/L",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.