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

Kodie Rae Grass

Individual provider Occupational Therapist · NPI 1720801665

Kodie Rae Grass is an Occupational Therapist in Private Practice in Flushing, New York. Qualified in 2022, 4 years ago. Practices with Fox Rehabilitation Physical Therapy Services LLC, a 228-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

3820 Bowne St
Flushing, NY 11354-5638
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 95 Crystal Run Rd, Middletown, NY 10941-7001 — (845) 703-6999

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 026953 (NY)

Record details

NPI number1720801665
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 7, 2024
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address7 Carnegie Plz, Cherry Hill, NJ 08003-1000

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 Physical Therapy Services Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Flushing