MEDICARE: JORDANN RYLEE GRAVES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	OTA.0001734	CO

General Provider Information

NPI Number	:	1518732072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDANN RYLEE GRAVES

Provider Business Mailing Address
First Line	:	4630 DOOLEY WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80911-3272
Country	:	US
Telephone Number	:	419-689-4796
Fax Number	:

Provider Business Practice Location Address
First Line	:	4630 DOOLEY WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80911-3272
Country	:	US
Telephone Number	:	419-689-4796
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2023
Last Update Date	:	11/15/2023

Similar Medicare Providers

1942011002 — SANDY LEE SCHMITZ FNP
Practice Location Address:

13120 BRIDLE BIT RD
COLORADO SPRINGS, CO
80908-3272

Practice Phone: 562-412-2618
Practice Fax:

1043505068 — MTA DENTAL LLC
Practice Location Address:

6268 W SAMPLE RD , UNIT 401
CORAL SPRINGS, FL
33067-3272

Practice Phone: 305-484-7879
Practice Fax:

1982428165 — NICOLA OSBORNE
Practice Location Address:

6268 W SAMPLE RD STE 441
CORAL SPRINGS, FL
33067-3272

Practice Phone: 954-842-1103
Practice Fax:

1861230260 — KYLE MATTHEW DICKEY PT, DPT
Practice Location Address:

115 FONTAINE BLVD
COLORADO SPRINGS, CO
80911-2110

Practice Phone: 719-358-8885
Practice Fax: 719-465-3096

1710947098 — MARTIN VISION PC
Practice Location Address:

388 MAIN ST
COLORADO SPRINGS, CO
80911-1713

Practice Phone: 719-391-2000
Practice Fax: 844-273-2910

1528005220 — ACTION POTENTIAL RLLP
Practice Location Address:

328 MAIN ST
COLORADO SPRINGS, CO
80911-1713

Practice Phone: 719-392-7777
Practice Fax: 719-235-5982

Directions to “ JORDANN RYLEE GRAVES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.