Organization Active NPI

Granville Hand Therapy LLC

  • Hand Occupational Therapist
  • Granville, OH
National Provider Identifier
1093340739
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
GRANVILLE HAND THERAPY LLC
Practice address
1921 Newark Granville Rd
Granville, OH 43023-9153
Phone
(740) 920-4092
Fax
(740) 920-4318
NPI assigned
Mar 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Amy Michelle Anderson, OTR/L, CHTNPI 1477588572
Title
Owner, Sole Member
Phone
(740) 920-4092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X Primary

Addresses

Primary practice location

1921 Newark Granville Rd
Granville, OH 43023-9153

Mailing address

1921 Newark Granville Rd
Granville, OH 43023-9153
Phone (740) 920-4092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200423000745 OH Part B Supplier - Clinic/Group Practice 6103256730 Receives reassigned benefits from 1 practitioner
Practice locations: Granville, OH
O20200518002217 OH DME Supplier - Independently-Practicing Occupational Therapist 6103256730 Practice locations: Granville, OH

National Provider Directory

National Provider Directory

Locations

1921 Newark Granville Rd
Granville, OH 43023
Phone (740) 920-4092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1093340739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239153",
            "telephone_number": "740-920-4092",
            "fax_number": "740-920-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239153",
            "telephone_number": "740-920-4092",
            "fax_number": "740-920-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANVILLE HAND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER, SOLE MEMBER",
        "authorized_official_telephone_number": "740-920-4092",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.