Active NPI
Ty Daniel O'Grady, OTD
- Pediatric Occupational Therapist
- Carrollton, TX
National Provider Identifier
1790509362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 124965
- Practice address
- 1000 W Crosby Rd Ste 136
Carrollton, TX 75006-6904 - Phone
- (972) 237-0100
- NPI assigned
- Nov 11, 2024
- Last updated
- Nov 11, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 124965 | TX | Primary |
Addresses
Primary practice location
1000 W Crosby Rd Ste 136
Carrollton, TX 75006-6904
Mailing address
508 S Carroll Blvd Apt 256
Denton, TX 76201-0001
Phone (254) 495-3400
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 |
|---|---|---|---|
| 124965 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CKC Holdings LLC | Current | Accepting new patients | |
| CKC Holdings LLC | Current | Accepting new patients |
Locations
1000 W Crosby Rd
Ste 136
Carrollton, TX 75006
Phone (972) 237-0100
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1790509362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 S CARROLL BLVD APT 256",
"city": "DENTON",
"state": "TX",
"postal_code": "762010001",
"telephone_number": "254-495-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CROSBY RD STE 136",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750066904",
"telephone_number": "972-237-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'GRADY",
"first_name": "TY",
"middle_name": "DANIEL",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "124965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.