Ian Grissett, OTR
Individual provider Active NPI Occupational Therapist · Aurora, OH
NPI 1225446552 · NPPES record last updated Jul 30, 2014
Key facts
- NPI
- 1225446552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 008025 (OH)
- Practice address
- 101 S Bissell Rd
Aurora, OH 44202-9170 - Phone
- (440) 424-4000
- NPI assigned
- Jul 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
141 Chestnut Hill Dr
Ravenna, OH 44266-3916
Phone (330) 577-5037
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221118000811 | OH | Practitioner - Occupational Therapist in Private Practice | 7517335789 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008025 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current |
Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 008025 | OH | Yes |
Addresses
Primary practice location
101 S Bissell Rd
Aurora, OH 44202-9170
Mailing address
16176 Ravenna Rd
Burton, OH 44021-9787
Other providers in Aurora, OH
- Jeffrey Glaze
- Kelly Glaze
- Good Nature Therapy Services
- Alisa Gotic
- Gray Medical LLC
- Jaime Gurney
- Shasta Lynn Hall
- Phillip Lee Halstead II
- Hamilton Ci Services, LLC
- Margaret Jeanne Hamilton
All providers in Aurora, OH · Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.