Active NPI
James N Graham-Hayes, COTA
- Occupational Therapy Assistant
- Baltimore, MD
National Provider Identifier
1548092695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- A03216
- Practice address
- 4701 Hazelwood Ave
Baltimore, MD 21206-2832 - Phone
- (667) 309-3650
- NPI assigned
- Aug 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | A03216 | MD | Primary |
Addresses
Primary practice location
4701 Hazelwood Ave
Baltimore, MD 21206-2832
Mailing address
334 Radnor Rd
Baltimore, MD 21212-4415
Phone (724) 787-9482
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 |
|---|---|---|---|
| A03216 | MD | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1548092695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 RADNOR RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212124415",
"telephone_number": "724-787-9482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 HAZELWOOD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212062832",
"telephone_number": "667-309-3650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM-HAYES",
"first_name": "JAMES",
"middle_name": "N",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-16",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MD",
"license": "A03216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.