Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Amy Griswold, OTDOTR/LRYTCBIS

Individual provider Occupational Therapist · NPI 1508630153

Dr. Amy Griswold, OTDOTR/LRYTCBIS is an Occupational Therapist in Private Practice in LA Mesa, California. Qualified in 2022, 4 years ago. Practices with Fox Rehabilitation Services LLC, a 307-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023

Practice location Address checks out

5640 Aztec Dr
LA Mesa, CA 91942
Phone: (619) 403-5275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 23940 (CA)

Record details

NPI number1508630153
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTDOTR/LRYTCBIS
Sole proprietorNo
NPI enumeratedNovember 14, 2023
Last updated in NPPESNovember 14, 2023
Certification dateNovember 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fox Rehabilitation Services Llc — 307 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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