Individual provider Active NPI

Haley Grant, OTR

  • Occupational Therapist
  • Grapevine, TX
National Provider Identifier
1275313405
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
121915 Issued in TX
Practice address
2637 Ira E Woods Ave Ste 1020
Grapevine, TX 76051-9010
Phone
(817) 865-5447
Fax
(817) 704-2598
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 121915 TX Primary

Addresses

Primary practice location

2637 Ira E Woods Ave Ste 1020
Grapevine, TX 76051-9010

Mailing address

15333 Henrietta Bend Dr
Roanoke, TX 76262-6594

Other practice location 1

5612 Edwards Ranch Rd Ste 100
Fort Worth, TX 76109-4145
Phone (817) 547-0909

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Rehab Center Inc Occupational Therapist CurrentSince Mar 24, 2025 Accepting new patients
Endeavor Rehab Center Inc Hand CurrentSince Mar 24, 2025 Accepting new patients

Locations

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

2637 Ira E Woods Ave
Ste 2OO
Grapevine, TX 76051

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

110 Mary Lou Dr
Ste 100
Willow Park, TX 76087
Phone (817) 423-5611

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1275313405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 HENRIETTA BEND DR",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 IRA E WOODS AVE STE 1020",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760519010",
            "telephone_number": "817-865-5447",
            "fax_number": "817-704-2598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5612 Edwards Ranch Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761094145",
            "country_code": "US",
            "telephone_number": "817-547-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "HALEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.