Active NPIIndividual providerSole proprietor

Krysta A Grande, BA, COTA/L

Occupational Therapy Assistant in Bensalem, Pennsylvania

NPI Number1295569051
Practice location
3260 Tillman Dr Ste 117, Bensalem, PA 19020-2058
Fax
—
Last updated
August 26, 2024

Krysta Ann Grande is an Occupational Therapy Assistant based in Bensalem, PA. Krysta Ann Grande practices in Bensalem, PA and has the professional credentials of BA, COTA/L. The NPI Number for Krysta Ann Grande is 1295569051 and holds a License No. OP009745 (PA). The current practice location address for Krysta Ann Grande is 3260 Tillman Dr Ste 117, Bensalem, PA 19020-2058 and can be reached out via phone at 267-332-2989.

Provider Profile Details

NPI Number
1295569051
Provider Name
Krysta Ann Grande
Credential
BA, COTA/L
Provider Entity Type
Individual
Gender
Female
Address
3260 Tillman Dr Ste 117, Bensalem, PA 19020-2058
Phone Number
267-332-2989
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 26, 2024
Last Update Date
August 26, 2024
Certification Date
August 26, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3260 Tillman Dr Ste 117
Bensalem, PA 19020-2058
Zip
19020-2058
Phone Number
267-332-2989
Bensalem, PA 19020Get directions →

Provider Business Mailing Address Details

Address
6521 Caroline Ave
Pennsauken, NJ 08109-1441
City
Pennsauken
State
NJ
Zip
08109-1441
Phone Number
609-680-6004

License Information

License Number
OP009745
License State
PA
Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Krysta A Grande, BA, COTA/L?

The NPI number of Krysta A Grande, BA, COTA/L is 1295569051. It was assigned on August 26, 2024 and is currently active in the NPPES registry.

What is the specialty of Krysta A Grande, BA, COTA/L?

Krysta A Grande, BA, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in PA under license number OP009745.

Where does Krysta A Grande, BA, COTA/L practice?

The practice location is 3260 Tillman Dr Ste 117, Bensalem, PA 19020-2058. The office can be reached at 267-332-2989 (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 1295569051 directly on the NPPES registry website.

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