Active NPI
Elizabeth A Grant, OTR/L, CKTP
- Pediatric Occupational Therapist
- Louisville, KY
National Provider Identifier
1992086540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- R2523
- Practice address
- 571 S Floyd St
Suite 100
Louisville, KY 40202-3828 - Phone
- (502) 852-7897
- Fax
- (502) 852-2911
- NPI assigned
- Sep 8, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | R2523 | KY | Primary |
Addresses
Primary practice location
571 S Floyd St
Suite 100
Louisville, KY 40202-3828
Mailing address
571 S Floyd St
Suite 100
Louisville, KY 40202-3828
Phone (502) 852-7897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2523 | KY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients |
Locations
411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
Interoperability endpoints
- egrant106235@direct.nortonhealthcare.org
Organizations & group practices 3
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.
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- Pediatric Critical Care Medicine Physician
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- NPI 1386281657
-
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1992086540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 S FLOYD ST",
"address_2": "SUITE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023828",
"telephone_number": "502-852-7897",
"fax_number": "502-852-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 S FLOYD ST",
"address_2": "SUITE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023828",
"telephone_number": "502-852-7897",
"fax_number": "502-852-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "OTR/L, CKTP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "KY",
"license": "R2523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.