Active NPI
Julie Grant, OTR
- Specialist
- Daphne, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1917
- Practice address
- 790A Daphne Ave
Daphne, AL 36526-4657 - Phone
- (251) 408-9287
- Fax
- (800) 721-2101
- NPI assigned
- Jun 19, 2007
- Last updated
- Jul 2, 2020
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1917 | AL | Primary |
Addresses
Primary practice location
790A Daphne Ave
Daphne, AL 36526-4657
Mailing address
314 Whiting CT
Daphne, AL 36526-4616
Phone (251) 408-9287
Other practice location 1
5767 Airport Blvd
Ste. B
Mobile, AL 36608-3101
Phone (251) 344-4212
Other practice location 2
1745 Main St Ste D
Daphne, AL 36526
Phone (251) 408-9287
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-45356 | Other | AL | BCBS DAPHNE LOCATION |
| L223 | Other | AL | MEDICARE GROUP |
| 51542827 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27495 U S Hwy 98
Daphne, AL 36526
Phone (251) 408-9287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1917 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edema Therapy Company | Current | Accepting new patients | |
| Edema Therapy Company | Current | Accepting new patients | |
| Cancer Rehab & Edema Specialist | Specialist | Past | Accepting new patients |
Locations
1745 Main St
Ste D
Daphne, AL 36526
Phone (251) 408-9287
27495 US Highway 98
Daphne, AL 36526
Phone (251) 408-9287
790A Daphne Ave
Daphne, AL 36526
Phone (251) 408-9287
12456 Sandy Ln
Foley, AL 36535
Phone (251) 533-4651
Organizations & group practices 3
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.
-
- Occupational Therapist
- Daphne, AL
- NPI 1235540097
-
- Occupational Therapist
- Daphne, AL
- NPI 1972283315
-
- Durable Medical Equipment & Medical Supplies
- Mobile, AL
- NPI 1942308689
Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1669677712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 WHITING CT",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264616",
"telephone_number": "251-408-9287",
"fax_number": "800-721-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790A DAPHNE AVE",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264657",
"telephone_number": "251-408-9287",
"fax_number": "800-721-2101"
}
],
"practiceLocations": [
{
"address_1": "5767 Airport Blvd",
"address_2": "STE. B",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366083101",
"country_code": "US",
"telephone_number": "251-344-4212",
"fax_number": "251-344-4302",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1745 Main St Ste D",
"address_purpose": "LOCATION",
"city": "Daphne",
"state": "AL",
"postal_code": "36526",
"country_code": "US",
"telephone_number": "251-408-9287",
"fax_number": "800-721-2101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "JULIE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "1917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DAPHNE LOCATION",
"identifier": "515-45356",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "L223",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51542827",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.