Devonte' Demez Grinstead, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

120118 Issued in TX

Practice address

2540 Carmichael Way
Carmichael, CA 95608-5314

Phone

(916) 482-0465

NPI assigned

Jul 24, 2019

Last updated

Jul 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1508410978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 BRAMPTON WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351519",
            "telephone_number": "318-794-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 CARMICHAEL WAY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956085314",
            "telephone_number": "916-482-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINSTEAD",
        "first_name": "DEVONTE'",
        "middle_name": "DEMEZ",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul R Gregory Jr., M.D.
• Audra Kay Grellmann, MS, CCC-SLP
• Andrew Lawrence Griffin, MD
• Gloria Griffin
• Catherine R Grinstead, DVM
• Emily Gross
• Kelly Aline Grossman, NURSE PRACTITIONER
• Kimberly A Guenther, DO
• Emily Elizabeth Guerra
• Manual G. Guerra

• Occupational Therapist in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.