Active NPIIndividual provider

Raven E Grady, MS OTR/L

Occupational Therapist in Laconia, New Hampshire

NPI Number1093163172
Practice location
806 N Main St, Laconia, NH 03246-2603
Fax
—
Last updated
February 19, 2021

Raven Elizabeth Grady is an Occupational Therapist based in Laconia, NH. Raven Elizabeth Grady practices in Laconia, NH and has the professional credentials of MS OTR/L. The NPI Number for Raven Elizabeth Grady is 1093163172 and holds a License No. 020567-1 (NY). The current practice location address for Raven Elizabeth Grady is 806 N Main St, Laconia, NH 03246-2603 and can be reached out via phone at 603-524-9090.

Provider Profile Details

NPI Number
1093163172
Provider Name
Raven Elizabeth Grady
Credential
MS OTR/L
Provider Entity Type
Individual
Gender
Female
Address
806 N Main St, Laconia, NH 03246-2603
Phone Number
603-524-9090
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
May 30, 2016
Last Update Date
February 19, 2021
Certification Date
February 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
806 N Main St
Laconia, NH 03246-2603
Zip
03246-2603
Phone Number
603-524-9090
Laconia, NH 03246Get directions →

Provider Business Mailing Address Details

Address
806 N Main St
Laconia, NH 03246-2603
City
Laconia
State
NH
Zip
03246-2603
Phone Number
603-524-9090

License Information

License Number (1)
020567-1
License State (1)
NY
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
2533
License State (2)
NH
Taxonomy (2)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Raven E Grady, MS OTR/L?

The NPI number of Raven E Grady, MS OTR/L is 1093163172. It was assigned on May 30, 2016 and is currently active in the NPPES registry.

What is the specialty of Raven E Grady, MS OTR/L?

Raven E Grady, MS OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 020567-1.

Where does Raven E Grady, MS OTR/L practice?

The practice location is 806 N Main St, Laconia, NH 03246-2603. The office can be reached at 603-524-9090 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093163172 directly on the NPPES registry website.

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