Active NPI
Eileen Daniela Groll, OTR/L
- Occupational Therapist
- West Palm Beach, FL
National Provider Identifier
1932839883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT23223
- Practice address
- 2711 Exchange CT Ste B
West Palm Beach, FL 33409-4017 - Phone
- (561) 494-4499
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT23223 | FL | Primary |
Addresses
Primary practice location
2711 Exchange CT Ste B
West Palm Beach, FL 33409-4017
Mailing address
110 SW 9TH Ave
Boca Raton, FL 33486-4520
Phone (561) 494-4499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nisha Bhatt Inc. | Occupational Therapist | Current | Accepting new patients |
| Nisha Bhatt Inc. | Occupational Therapist | Past | Accepting new patients |
Locations
2711 Exchange Ct
Ste B
West Palm Beach, FL 33409
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1932839883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 SW 9TH AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334864520",
"telephone_number": "561-494-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 EXCHANGE CT STE B",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334094017",
"telephone_number": "561-494-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROLL",
"first_name": "EILEEN",
"middle_name": "DANIELA",
"name_prefix": "Dr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-14",
"last_updated": "2022-06-14",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT23223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.