Dannae Gruning, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

217893 Issued in TX

Practice address

1112 E Copeland Rd Ste 300
Arlington, TX 76011-4910

Phone

(817) 505-2575

NPI assigned

Jan 26, 2022

Reactivated

Jul 26, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Ageless Living Home Health LLC

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1952614067
  NPD (past)

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1821740218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 PORTCHESTER CASTLE PATH",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607457",
            "telephone_number": "619-871-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E COPELAND RD STE 300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114910",
            "telephone_number": "817-505-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNING",
        "first_name": "DANNAE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "deactivation_date": "2023-07-05",
        "reactivation_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "217893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Juan Antonio Guajardo
• Guard Healthcare Systems LLC
• Guardian Pharmacy of Texas LLC

• Occupational Therapy Assistant in Arlington, TX
• Providers in Arlington, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.