Healthcare Provider Details

I. General information

NPI: 1932422839
Provider Name (Legal Business Name): NATALIE GRAZIANO DPT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2010
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1522 OAK ST
JACKSONVILLE FL
32204-3911
US

IV. Provider business mailing address

1522 OAK ST
JACKSONVILLE FL
32204-3911
US

V. Phone/Fax

Practice location:
  • Phone: 904-353-2019
  • Fax: 904-353-7762
Mailing address:
  • Phone: 904-353-2019
  • Fax: 904-353-7762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 13029
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 25036
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number127859
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number127861
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: