Nicole Michele Grodski, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

009979-1 Issued in NY

Practice address

11 Center Dr
Riverhead, NY 11901-1079

Phone

(631) 369-4053

NPI assigned

Jul 21, 2009

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1811127160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CENTER DR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011079",
            "telephone_number": "631-369-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CENTER DR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011079",
            "telephone_number": "631-369-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODSKI",
        "first_name": "NICOLE",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "009979-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Theresa Grandino
• Trinity Grasso, PT, DPT, CSCS
• Leslaw J Gredysa, MD
• Paul R. Greenfield, RPH
• Timothy Patrick Griffin, CASAC 2
• David Gross, MD
• Cory Gruner, DPT
• Frank John Guastella I, LCSW
• Anthony Joseph Guccione III, DO
• Andres Alejandro Guerrero

• Pediatric Occupational Therapist in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.