Healthcare Provider Details

I. General information

NPI: 1962306209
Provider Name (Legal Business Name): COZY NEST OCCUPATIONAL THERAPY BY BETHANY A. GRUSKIN, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 W LEXINGTON DR APT A525
GLENDALE CA
91203-3118
US

IV. Provider business mailing address

213 N GLENDALE AVE # 1016
GLENDALE CA
91206-4455
US

V. Phone/Fax

Practice location:
  • Phone: 845-826-2988
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: BETHANY GRUSKIN
Title or Position: PRESIDENT/OWNER
Credential: PHD, MSOT, OTR/L
Phone: 845-826-2988