Active NPI
Grace Boles, OTR
- Occupational Therapist
- Anderson, IN
National Provider Identifier
1548712490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31005836A
- Practice address
- 2603 Doe Meadow Dr
Anderson, IN 46011-9605 - Phone
- (765) 623-5556
- NPI assigned
- Oct 26, 2016
- Last updated
- Oct 26, 2016
- 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 | 31005836A | IN | Primary |
Addresses
Primary practice location
2603 Doe Meadow Dr
Anderson, IN 46011-9605
Mailing address
Lifespan Therapy
118 Medical Drive
Carmel, IN 46032
Other names 1
- Miss Grace Purdy
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 |
|---|---|---|---|
| 31005836A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1548712490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LIFESPAN THERAPY",
"address_2": "118 MEDICAL DRIVE",
"city": "CARMEL",
"state": "IN",
"postal_code": "46032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 DOE MEADOW DR",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460119605",
"telephone_number": "765-623-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLES",
"first_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31005836A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACE",
"last_name": "PURDY",
"prefix": "MISS",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.