Active NPI
Kimberly Granhaug, OTR, CHT
- Hand Occupational Therapist
- Katy, TX
National Provider Identifier
1609938802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 103989
- Practice address
- 707 S Fry Rd
Katy, TX 77450-2256 - Phone
- (281) 599-6800
- Fax
- (281) 599-4214
- NPI assigned
- Dec 14, 2006
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 103989 | TX | Primary |
Addresses
Primary practice location
707 S Fry Rd
Katy, TX 77450-2256
Mailing address
20102 Yorkpine CT
Katy, TX 77450-5060
Phone (281) 599-6800
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 |
|---|---|---|---|
| 103989 | TX | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609938802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20102 YORKPINE CT",
"city": "KATY",
"state": "TX",
"postal_code": "774505060",
"telephone_number": "281-599-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S FRY RD",
"city": "KATY",
"state": "TX",
"postal_code": "774502256",
"telephone_number": "281-599-6800",
"fax_number": "281-599-4214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANHAUG",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "OTR, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "TX",
"license": "103989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
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.