Sherry Gronwold, C.O.T.A.

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

200622 Issued in MN

Practice address

1131 S Mabelle Ave
Fergus Falls, MN 56537-3723

Phone

(218) 998-1505

NPI assigned

Feb 7, 2016

Last updated

Feb 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1454803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454803200000",
    "number": "1699133546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 S MABELLE AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565373723",
            "telephone_number": "218-998-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 S MABELLE AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565373723",
            "telephone_number": "218-998-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONWOLD",
        "first_name": "SHERRY",
        "name_prefix": "Mrs.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-07",
        "last_updated": "2016-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "200622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grenvik Counseling & Mediation
• Jeanne Grenvik, MA, LMFT
• Keon Idris Griffie, FNP
• Meghan Grill, OTD, OTR/L
• Paula Grismer
• Janet Grulke
• Amy Guck, RN, PHN
• Joyce Christine Guenther, LPN
• Mark R Gundersen, MD
• Tanya Rae Gunderson, LPN

• Occupational Therapy Assistant in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; 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.