Grand Therapeutic Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

OT004199 Issued in GA

Legal business name

GRAND THERAPEUTIC SERVICES LLC

Practice address

1600 Atkinson Rd Ste 111
Lawrenceville, GA 30043-5747

Phone

(267) 549-2966

NPI assigned

Mar 5, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Stanley Troyd Legrand, OTR/L

Title

Occupational Therapist

Phone

(267) 549-2966

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1912409046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HERRINGTON RD APT 19303",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300441817",
            "telephone_number": "267-549-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ATKINSON RD STE 111",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435747",
            "telephone_number": "267-549-2966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Mulkey Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301061116",
            "country_code": "US",
            "telephone_number": "770-916-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 S Charles St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212013121",
            "country_code": "US",
            "telephone_number": "410-878-1014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRAND THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "LEGRAND",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "TROYD",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "267-549-2966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "OT004199",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Graham, LPC
• Latrina Graham, RN
• Lisa Rochelle Graham, RN, BSN, CDE
• Nicole Teresa Graham, APRN
• Nolan Gregory Graham, MD
• Krista Lee Granger, APRN
• Keionna Danay Grant, M.D.
• Sarah Elizabeth Grant, MPH, CHES, CDCES
• Colleen J Gray, ED.D, LPC, CAADC
• Elizabeth Nicole Gray, MSN, WHNP

• Physical Therapy Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.