Audra Groeninger, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31006338A Issued in IN

Practice address

5311 Rosebud LN
Newburgh, IN 47630-9286

Phone

(844) 325-8230

NPI assigned

Jun 19, 2018

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

Other names 1

• Audra Williams Former name

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1821582214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 LOHOFF AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103152",
            "telephone_number": "812-453-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 ROSEBUD LN",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309286",
            "telephone_number": "844-325-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROENINGER",
        "first_name": "AUDRA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006338A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDRA",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam S. Greenlee, D.C., L.A.C.
• Chloe Greenwell
• Sydney Lynn Grider
• Daniel W. Griffin, MD
• Jacob Grisham, FNP
• Kelsey Jo Guidry, RBT
• Adam Alexander Guth, DMD
• Erin Haaff
• Kimberly K. Haerle, M.ED
• Elizabeth Hagan

• Occupational Therapist in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.