Active NPI
Grace Elliott
- Recreation Therapist
- Portage, MI
National Provider Identifier
1649184599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Practice address
- 3395 Austrian Pine Way
Apt 22
Portage, MI 49024 - Phone
- (269) 967-6861
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | MI | Primary |
Addresses
Primary practice location
3395 Austrian Pine Way
Apt 22
Portage, MI 49024
Mailing address
3395 Austrian Pine Way
Apt 22
Portage, MI 49024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1649184599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3395 AUSTRIAN PINE WAY",
"address_2": "APT 22",
"city": "PORTAGE",
"state": "MI",
"postal_code": "49024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3395 AUSTRIAN PINE WAY",
"address_2": "APT 22",
"city": "PORTAGE",
"state": "MI",
"postal_code": "49024",
"telephone_number": "269-967-6861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.