Ashley Nicole Grevera, MS, OTR/L, RYT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC015750 Issued in PA

Practice address

2449 State Route 118 Ste 2
Hunlock Creek, PA 18621-5022

Phone

(570) 690-4908

NPI assigned

Oct 25, 2018

Last updated

Feb 17, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Mindful Moments Pediatric Therapy & Wellness Center, LLC

  • Pediatric Occupational Therapist
  • Hunlock Creek, PA
  • NPI 1538756226
  NPD Authorized official
• St. Joseph's Center

  • Intellectual Disabilities Intermediate Care Facility
  • Scranton, PA
  • NPI 1316075419

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1932676285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 STATE ROUTE 118 STE 2",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186215022",
            "telephone_number": "570-690-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 STATE ROUTE 118 STE 2",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186215022",
            "telephone_number": "570-690-4908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Adams Ave",
            "address_purpose": "LOCATION",
            "city": "Dunmore",
            "state": "PA",
            "postal_code": "185091508",
            "country_code": "US",
            "telephone_number": "570-342-8379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Pierce St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "PA",
            "postal_code": "187045141",
            "country_code": "US",
            "telephone_number": "570-572-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREVERA",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "MS, OTR/L, RYT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2021-02-17",
        "certification_date": "2020-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "2449 State Route 118 Ste 2",
            "city": "Hunlock Creek",
            "state": "PA",
            "country_code": "US",
            "postal_code": "186215022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Lyn Bower, AU.D.
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• Feelgood Psychiatric Services LLC
• Gerald Joseph Gostynski Jr.
• Patricia Q Herrick, PT
• Home and Mobility Solutions
• Hunlock Creek Vol Ambulance Assoc
• Jennifer Kelley, MS CCC/SLP
• Jennifer Ann Kennedy, MS, CCC-SLP

• Occupational Therapist in Hunlock Creek, PA
• Providers in Hunlock Creek, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.