Active NPI
Marek Graczkowski, OTR
- Occupational Therapist
- Boca Raton, FL
National Provider Identifier
1649493099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT10388
- Practice address
- 23315 Blue Water Cir
Boca Raton, FL 33433-7053 - Phone
- (561) 368-1033
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- 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 | OT10388 | FL | Primary |
Addresses
Primary practice location
23315 Blue Water Cir
Boca Raton, FL 33433-7053
Mailing address
2850 Somerset Dr
L 218
Lauderdale Lakes, FL 33311-9342
Phone (954) 295-0726
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649493099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 SOMERSET DR",
"address_2": "L 218",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333119342",
"telephone_number": "954-295-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23315 BLUE WATER CIR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337053",
"telephone_number": "561-368-1033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACZKOWSKI",
"first_name": "MAREK",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT10388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
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.