Active NPI
Tara Grant, OTR
- Occupational Therapist
- Redford, MI
National Provider Identifier
1275246027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201013082
- Practice address
- 13057 Leverne
Redford, MI 48239-2734 - Phone
- (248) 837-0703
- NPI assigned
- Dec 26, 2022
- Last updated
- Dec 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201013082 | MI | Primary |
Addresses
Primary practice location
13057 Leverne
Redford, MI 48239-2734
Mailing address
13057 Leverne
Redford, MI 48239-2734
Phone (248) 837-0703
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 |
|---|---|---|---|
| 5201013082 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672012800000",
"number": "1275246027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13057 LEVERNE",
"city": "REDFORD",
"state": "MI",
"postal_code": "482392734",
"telephone_number": "248-837-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13057 LEVERNE",
"city": "REDFORD",
"state": "MI",
"postal_code": "482392734",
"telephone_number": "248-837-0703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "TARA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-26",
"last_updated": "2022-12-26",
"certification_date": "2022-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201013082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redford, MI
- Robert Darnell Gordon Sr.
- Torima Gorsuch
- Gracious Corner Agency LLC
- Brandon Grady, PA
- Nikole Lauren Granett, M.A.
- Great Lakes Physicians of Redford,P.L.L.C.
- Greater Grace Health System, Inc.
- Greater Hope Home Healthcare LLC (Greater Hope Home Plus Care)
- Kimberly Leona Green-Taylor, LMT
- Cheryl Denise Green, LLMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.