Gracie Phillips, M.S., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

019061-1 Issued in NY

Practice address

49 Chambers St # 51
Sixth Floor
New York, NY 10007-1209

Phone

(501) 554-9985

NPI assigned

Oct 29, 2014

Sex

Female

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1588069751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 93RD ST",
            "address_2": "APT. B9",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113692464",
            "telephone_number": "501-554-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CHAMBERS ST # 51",
            "address_2": "SIXTH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071209",
            "telephone_number": "501-554-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GRACIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019061-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Jean Phillips, MSW, PH.D
• Denora Christian Phillips, MS ED, ABA
• Donna P Phillips, MD
• Emily Phillips, DPT
• Geoffrey I Phillips, M.D.
• Gregory Scott Phillips, MD
• Holly L Phillips, M.D.
• James Phillips, LIMITED PERMIT
• John L Phillips, MD
• Kameelah Anjail Phillips

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.