Wendy Jenkins Grimmett, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

113278 Issued in TX

Practice address

1315 Walnut St
Texarkana, TX 75501-4446

Phone

(903) 794-2705

Fax

(903) 793-1203

NPI assigned

Apr 20, 2012

Last updated

Apr 20, 2012By 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

Credentials

Master of Science

State licenses

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.

• Temple Memorial Pediatric Center Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Texarkana, TX
  • NPI 1972654663
  NPD (past)

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1790042240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 LAFAYETTE 23",
            "city": "BUCKNER",
            "state": "AR",
            "postal_code": "718279514",
            "telephone_number": "870-533-2073",
            "fax_number": "870-533-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014446",
            "telephone_number": "903-794-2705",
            "fax_number": "903-793-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMMETT",
        "first_name": "WENDY",
        "middle_name": "JENKINS",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "113278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Michelle Griffin, PT
• John Stanley Griffin Jr., MD
• Nancy L Griffin, MD
• Kent Grimmett
• Rachel Ann Grimmett, PT, DPT
• Guadalupe County Hospital Board (Avir at Texarkana)
• Guadalupe County Hospital Board (Avir at Cowhorn Creek)
• Sharon Gustafson
• Angela Gail Guy, APRN
• Maria Teresa Guzman, PT, DPT

• Pediatric Occupational Therapist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.