Active NPI
Jessica Granda
- Occupational Therapist
- Dartmouth, MA
National Provider Identifier
1609904036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6753
- Practice address
- 1 Posa Place
Dartmouth, MA 02747-2511 - Phone
- (508) 996-3391
- Fax
- (508) 996-3397
- NPI assigned
- Feb 28, 2007
- Last updated
- Jul 8, 2007
- 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 | 6753 | MA | Primary |
Addresses
Primary practice location
1 Posa Place
Dartmouth, MA 02747-2511
Mailing address
27 Emerald Dr
Dartmouth, MA 02747-3514
Phone (508) 999-6038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000025647 | Other | MA | BMC |
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 |
|---|---|---|---|
| 6753 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609904036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 EMERALD DR",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027473514",
"telephone_number": "508-999-6038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 POSA PLACE",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027472511",
"telephone_number": "508-996-3391",
"fax_number": "508-996-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDA",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "6753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "000000025647",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.