Susan Loraine Grimes, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

207832 Issued in TX

Practice address

5601 Bridge St
Suite 401
Fort Worth, TX 76112-2384

Phone

(817) 446-5000

Fax

(817) 332-7801

NPI assigned

Aug 31, 2007

Last updated

Feb 28, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1639363799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 BRIDGE ST",
            "address_2": "SUITE 401",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122384",
            "telephone_number": "817-446-5000",
            "fax_number": "817-332-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BRIDGE ST",
            "address_2": "SUITE 401",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122384",
            "telephone_number": "817-446-5000",
            "fax_number": "817-332-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "SUSAN",
        "middle_name": "LORAINE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "207832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "207832",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Pablo Grimaldos, M.D.
• Debra Denise Grimes
• Kelly Damon Grimes, D.O.
• Nicole Grimes
• Rachel Grimes, LCSW
• Whitney Grimes, RD/LD
• Amanda M Grimsley
• Mariley M Grindell
• Parker Eli5 Grisham, M.S., SLP INTERN
• Shandy Grisham, RN, FNP

• Occupational Therapy Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.