Active NPI
Lori J Grandy, OTR
- Occupational Therapist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31001096A
- Practice address
- 4850 Century Plaza Rd
Indianapolis, IN 46254-5476 - Phone
- (317) 216-2828
- Fax
- (317) 216-2839
- NPI assigned
- Nov 28, 2006
- 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 | 31001096A | IN | Primary |
Addresses
Primary practice location
4850 Century Plaza Rd
Indianapolis, IN 46254-5476
Mailing address
4850 W Century Plaza Rd
Indianapolis, IN 46254
Phone (317) 216-2828
Other practice location 1
10940 E US Highway 36
Avon, IN 46123-7980
Phone (317) 808-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3105 S Western Ave
Athletico Physical Therapy
Marion, IN 46953-3966
Phone (765) 733-0050
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31001096A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico, LTD | Occupational Therapist | Current | Accepting new patients |
| Athletico LTD | Current | Accepting new patients | |
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
10940 E US Highway 36
Avon, IN 46123
Phone (317) 808-7000
3229 Broadway
Gary, IN 46409
Phone (219) 326-2324
3105 S Western Ave
Marion, IN 46953
Phone (765) 651-8480
1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560
Organizations & group practices 3
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": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1356417588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 W CENTURY PLAZA RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46254",
"telephone_number": "317-216-2828",
"fax_number": "317-216-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 CENTURY PLAZA RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462545476",
"telephone_number": "317-216-2828",
"fax_number": "317-216-2839"
}
],
"practiceLocations": [
{
"address_1": "10940 E US Highway 36",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "IN",
"postal_code": "461237980",
"country_code": "US",
"telephone_number": "317-808-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANDY",
"first_name": "LORI",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31001096A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.