Grace Marie Lindgren, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-050103 Issued in AZ

Practice address

1337 S Gilbert Rd Ste 105
Mesa, AZ 85204-6074

Phone

(480) 530-0890

NPI assigned

Nov 2, 2024

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1548083157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10438 E KNOWLES AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852091538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S GILBERT RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046074",
            "telephone_number": "480-530-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDGREN",
        "first_name": "GRACE",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-050103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Thao Thach Lin, PHARMD
• Erinn Lind
• Philip Lindblom
• Ryk W Linden, MD
• Katelyn Linderman, M.S.
• Ronald Albert Lindsey
• Lindstrom OB GYN
• David P. Lindstrom, D.D.S., P.C.
• Stephen Lindstrom, DPT
• Jennifer Linehan, PMHNP

• Occupational Therapy Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.