Active NPI
Casey Grant, OTR/L
- Occupational Therapist
- Kirkland, WA
National Provider Identifier
1255727913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60499038
- Practice address
- 14504 114TH Ave NE
Kirkland, WA 98034 - Phone
- (425) 394-6890
- NPI assigned
- Apr 9, 2015
- Reactivated
- Aug 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14217 | CA | |
| Occupational Therapist | 225X00000X | OT60499038 | WA | Primary |
Addresses
Primary practice location
14504 114TH Ave NE
Kirkland, WA 98034
Mailing address
1089 Tanland Dr Apt 101
Palo Alto, CA 94303-3747
Phone (845) 325-0401
Other practice location 1
1089 Tanland Dr Apt 101
Palo Alto, CA 94303-3747
Phone (845) 325-0401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14217 | CA | MD | Professional Counselor |
| OT60499038 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant Therapy Services | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Kirkland, WA
- NPI 1336601285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1255727913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1089 TANLAND DR APT 101",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943033747",
"telephone_number": "845-325-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14504 114TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98034",
"telephone_number": "425-394-6890"
}
],
"practiceLocations": [
{
"address_1": "1089 Tanland Dr Apt 101",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943033747",
"country_code": "US",
"telephone_number": "845-325-0401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "CASEY",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2019-09-25",
"deactivation_date": "2018-12-17",
"reactivation_date": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "14217",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60499038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.