JHONNY D GRADY NPI 1629745658

NPI Information

  • NPI: 1629745658
  • Provider Name: JHONNY D GRADY
  • Classification: Drama Therapist - 101200000X
  • Entity Type: Individual
  • Address: 5839 N TEUTONIA AVE
    MILWAUKEE, WI
    ZIP 53209
  • Phone: (917) 719-4698

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NPI Details

Jhonny D Grady is a drama therapist in Milwaukee, WI. The provider is drama therapists are trained in the intentional use of drama and theatre processes to achieve therapeutic goals. Drama therapists provide psychotherapy for individuals living with mental health and behavioral concerns that may result in psychological suffering, impaired relationships, or distress in daily activities. Drama therapy promotes wellness and healing within the context of a therapeutic relationship for individuals of varying ability levels across the lifespan. Drama therapy can take many forms depending on individual and group needs, skill and ability levels, interests, and therapeutic goals. Processes and techniques may include improvisation, theater games, storytelling, and enactment. Jhonny D Grady NPI is 1629745658. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5839 N TEUTONIA AVE
MILWAUKEE, WI
ZIP 53209-161
Phone: (917) 719-4698

The enumeration date for this NPI number is 8/26/2021 and was last updated on 8/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101200000XDrama TherapistG6304246825900WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G6304246825900MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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