Active NPI
Christine M. Grebenc, OT
- Occupational Therapist
- Pueblo, CO
National Provider Identifier
1780886267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- NBCOT AA217422
- Practice address
- 1008 Minnequa Ave
Pueblo, CO 81004-3733 - Phone
- (719) 557-5417
- Fax
- (719) 557-4750
- NPI assigned
- Jun 5, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NBCOT AA217422 | WI | Primary |
Addresses
Primary practice location
1008 Minnequa Ave
Pueblo, CO 81004-3733
Mailing address
Dept 1188
Denver, CO 80291-1188
Phone (303) 486-5504
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
| License | State | Type | Specialty |
|---|---|---|---|
| NBCOT AA217422 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Occupational Therapist | 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.
-
dba St Mary Corwin Health Promotions Center Rehab
- Physical Therapist
- Pueblo, CO
- NPI 1912107491
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780886267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 1188",
"city": "DENVER",
"state": "CO",
"postal_code": "802911188",
"telephone_number": "303-486-5504",
"fax_number": "303-486-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 MINNEQUA AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043733",
"telephone_number": "719-557-5417",
"fax_number": "719-557-4750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREBENC",
"first_name": "CHRISTINE",
"middle_name": "M.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "NBCOT AA217422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.