Individual provider Active NPI

Megan Elizabeth Griffey, MOT, OTR/L

  • Occupational Therapist
  • Cass Lake, MN
National Provider Identifier
1376841429
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.009278 Issued in IL
Practice address
425 7TH St NW
Cass Lake, MN 56633-3360
Phone
(218) 335-3200
NPI assigned
Mar 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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 056.009278 IL Primary

Addresses

Primary practice location

425 7TH St NW
Cass Lake, MN 56633-3360

Mailing address

25075 Hines Rd NE
Hines, MN 56647-4799
Phone (630) 659-6092

Other practice location 1

47W635 Beith Rd
Maple Park, IL 60151-8802
Phone (630) 365-5550

Other practice location 2

965 N Brighton Cir
Crystal Lake, IL 60012-2036
Phone (630) 659-6092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170920003425 IL Practitioner - Occupational Therapist in Private Practice 6901170513 Reassigns benefits to 1 organization
I20200909002420 TX Practitioner - Occupational Therapist in Private Practice 6901170513 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.009278ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Jun 1, 2017 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Jun 1, 2017 Accepting new patients
Department of Health & Human Services PHS IHS CurrentSince Jul 6, 2020 Accepting new patients
BPS Friends Past Accepting new patients
Blazing Prairie Stars Past Accepting new patients

Locations

350 E Devon Ave
Itasca, IL 60143

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200

536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237

Organizations & group practices 5

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": "1299974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1376841429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25075 HINES RD NE",
            "city": "HINES",
            "state": "MN",
            "postal_code": "566474799",
            "telephone_number": "630-659-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 7TH ST NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333360",
            "telephone_number": "218-335-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47W635 Beith Rd",
            "address_purpose": "LOCATION",
            "city": "Maple Park",
            "state": "IL",
            "postal_code": "601518802",
            "country_code": "US",
            "telephone_number": "630-365-5550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "965 N Brighton Cir",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600122036",
            "country_code": "US",
            "telephone_number": "630-659-6092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFEY",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-13",
        "last_updated": "2021-06-11",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.009278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cass Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.