Individual provider Active NPI

Dody Renee McGrew, COTA

  • Occupational Therapy Assistant
  • Burleson, TX
National Provider Identifier
1699896662
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
208940 Issued in TX
Practice address
1125 Blackbird CT
Burleson, TX 76028-0602
Phone
(817) 295-2484
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 208940 TX Primary

Addresses

Primary practice location

1125 Blackbird CT
Burleson, TX 76028-0602

Mailing address

1125 Blackbird CT
Burleson, TX 76028-0602
Phone (817) 295-2484

Other practice location 1

2535 Lone Star Dr
Dallas, TX 75212-6313
Phone (214) 467-9787

Other names 1

  • Dody Renee McGrew Former 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
208940TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optimizing Therapy Solutions Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699896662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 BLACKBIRD CT",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760280602",
            "telephone_number": "817-295-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BLACKBIRD CT",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760280602",
            "telephone_number": "817-295-2484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2535 Lone Star Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752126313",
            "country_code": "US",
            "telephone_number": "214-467-9787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGREW",
        "first_name": "DODY",
        "middle_name": "RENEE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "208940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DODY",
            "last_name": "MCGREW",
            "middle_name": "RENEE",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.