Harland Thomas Grant III, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT786 Issued in ME

Practice address

1 Cumberland PL Ste 108
Bangor, ME 04401-5087

Phone

(207) 990-9000

Fax

(207) 945-8645

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gentiva Health Services

  • Home Health Agency
  • Hampden, ME
  • NPI 1538362314
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043421118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 ESSEX ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012608",
            "telephone_number": "207-973-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CUMBERLAND PL STE 108",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015087",
            "telephone_number": "207-990-9000",
            "fax_number": "207-945-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "HARLAND",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla M Goss, LCSW, LADC, CCS
• Stephanie Lin Goss, CADC, MHRTC
• Tara Gould, MS, RD
• Brenda Anne Gowesky
• Chelsey Marie Gracia, D.O.
• Mark Grant, MD
• Michelle Grant, CRNA
• Geoffrey M Gratwick, MD
• Brianna Graves, LCSW
• Courtney Graves, LMFT

• Occupational Therapist in Bangor, ME
• Providers in Bangor, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.