Martha C Grajales, ITDS

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

14540 SW 136TH St Ste 210
Miami, FL 33186-6777

Phone

(305) 378-5247

Fax

(305) 378-6736

NPI assigned

Nov 13, 2007

Last updated

Nov 13, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Advance Therapy Works Inc

  • Rehabilitation Clinic/Center
  • Miami, FL
  • NPI 1104919653
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1740460104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 SW 136TH ST STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866777",
            "telephone_number": "305-378-5247",
            "fax_number": "305-378-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 SW 136TH ST STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866777",
            "telephone_number": "305-378-5247",
            "fax_number": "305-378-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAJALES",
        "first_name": "MARTHA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "ITDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorilee Agatha Graham, APRN
• Rudi-Ann Tamara Graham, M.D.
• Danerra J Grahn, PHARMD
• Gloria Marcela Grajales, OTR
• Mariadelmar Grajales, RN
• Julio Cesar Grajeda Chavez, M.D.
• Monica Gabriela Grajeda, RBT
• Gralos Medical Center Corporation
• Gran Familia
• Gran Familia Alf

• Developmental Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.