Heidi Grosnick, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.008140 Issued in IL

Practice address

403 E 1St St
Dixon, IL 61021-3116

Phone

(815) 285-5531

Fax

(815) 285-5592

NPI assigned

Feb 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1295432193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 2ND AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E 1ST ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213116",
            "telephone_number": "815-285-5531",
            "fax_number": "815-285-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSNICK",
        "first_name": "HEIDI",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "8090-26",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.008140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8090-26",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS OT LICENSE",
            "identifier": "056.008140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Griffith, LSW
• Alison Kay Grimes, MHP
• Brandy Grobe, LPN
• Kayla Elizabeth Grobe
• Kelsey Groseclose, RBT
• Megan Elizabeth Grove, LCSW
• James J Grunauer, DDS PC
• Eve Guenther, RDN, LDN
• Araseli Guerrero
• Kelly Louise Gulbranson

• Occupational Therapist in Dixon, IL
• Providers in Dixon, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.