Charlotte E Groth, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

220361 Issued in AK

Practice address

398 Hamilton Ave
Fairbanks, AK 99701-3537

Phone

(907) 374-4911

NPI assigned

Feb 26, 2024

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

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1932965290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 UNIVERSITY AVE S APT F64",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094981",
            "telephone_number": "507-512-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 HAMILTON AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013537",
            "telephone_number": "907-374-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTH",
        "first_name": "CHARLOTTE",
        "middle_name": "E",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "220361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Elizabeth Grimaldos, CRNA
• Joseph Grimes, FNP
• Sierra Grimes
• Laurey Gronemeier, M.ED., LPC, NCC, MAC
• McKenzie Grooms
• Teresa Grotkopp, L.AC.
• Ground Zero Wellness Center
• Mackenzie Grover
• Guardian Flight Inc (Guardian Flight)
• Guardian Flight Inc (Guardian Flight)

• Occupational Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.