Individual provider Active NPI

Grace Payment, OTD, OTR/L

  • Occupational Therapist
  • Jefferson City, MO
National Provider Identifier
1639905953
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2024036502 Issued in MO
Practice address
2209 Stonehill Road
Jefferson City, MO 65101
Phone
(573) 634-3070
NPI assigned
Sep 12, 2024
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2024043535 MO
Occupational Therapist 225X00000X 2024036502 MO Primary

Addresses

Primary practice location

2209 Stonehill Road
Jefferson City, MO 65101

Mailing address

3832 Riley CT
Jefferson City, MO 65109-5476
Phone (636) 373-1409

Other practice location 1

2211 Stonehill Road
Jefferson City, MO 65101
Phone (573) 634-3070

Other names 1

  • Grace Payment Other name

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

LicenseStateTypeSpecialty
2024036502MOMDOccupational Therapist
2024043535MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Area Council for Special Services CurrentSince Sep 15, 2024 Accepting new patients
Capital City Area Council for Special Services Occupational Therapist CurrentSince Sep 15, 2024 Accepting new patients

Locations

1115 Fairgrounds Rd
Jefferson City, MO 65109
Phone (573) 634-3070

2209 Stonehill Rd
Jefferson City, MO 65101
Phone (573) 634-3070

2211 Stonehill Rd
Jefferson City, MO 65101
Phone (573) 634-3070

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1639905953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 RILEY CT",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095476",
            "telephone_number": "636-373-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 STONEHILL ROAD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65101",
            "telephone_number": "573-634-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Stonehill Road",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "65101",
            "country_code": "US",
            "telephone_number": "573-634-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYMENT",
        "first_name": "GRACE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2024043535",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2024036502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "PAYMENT",
            "credential": "OTD, OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.