Jade Rene Grimes

Occupational Therapist · Fayetteville, GA

Individual Active NPI

NPI number 1144997651

Practice location

126 Pavilion Pkwy
Fayetteville, GA 30214-4056
Phone
(770) 954-8988
Fax
(404) 393-2447

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NPI record

NPI
1144997651
Entity type
Individual (Type 1)
Enumeration date
August 24, 2021
Last updated
January 12, 2022
Certified
January 12, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X OT008151 GA

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone
(855) 324-0885
Fax
(317) 520-8200

About Jade Grimes

Jade Rene Grimes is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 126 Pavilion Pkwy, Fayetteville, GA 30214-4056. The NPI number 1144997651 was assigned on August 24, 2021 and the record was last updated on January 12, 2022.

Jade Grimes lists a license in the registry: #OT008151 (GA) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jade Rene Grimes?

The NPI number is 1144997651.

What is the phone number of Jade Grimes?

The phone number listed for the practice location is (770) 954-8988.

Where is Jade Grimes located?

126 Pavilion Pkwy, Fayetteville, GA 30214-4056.

What is the taxonomy code for Jade Grimes?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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