Individual provider Active NPI

Cynthia A. Gruhot, OTR/L,CHT,CLT

  • Occupational Therapist
  • Dayton, OH
National Provider Identifier
1750369187
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT005568 Issued in OH
Practice address
1100 Brown St
Dayton, OH 45409-2601
Phone
(937) 478-4210
Fax
(866) 272-1218
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT005568 OH Primary
Occupational Therapist 225X00000X SM.067646 OH

Addresses

Primary practice location

1100 Brown St
Dayton, OH 45409-2601

Mailing address

2015 Trebein Rd
Xenia, OH 45385-8581
Phone (937) 478-4210

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cgruhot@icloud.com Health Information Exchange (HIE)

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT005568OHMDOccupational Therapist
SM.067646OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Life Counseling CurrentSince May 1, 2020 Accepting new patients

Locations

1525 Xenia Ave
Yellow Springs, OH 45387
Phone (937) 478-4210

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1750369187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 TREBEIN RD",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453858581",
            "telephone_number": "937-478-4210",
            "fax_number": "937-320-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BROWN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092601",
            "telephone_number": "937-478-4210",
            "fax_number": "866-272-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUHOT",
        "first_name": "CYNTHIA",
        "middle_name": "A.",
        "credential": "OTR/L,CHT,CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT005568",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "SM.067646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cgruhot@icloud.com",
            "affiliation": "N",
            "endpointDescription": "therapy office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Prescriptions/patient notes",
            "address_1": "2015 Trebein Road",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.