Individual provider Active NPI

Tia Grant, OTR/L

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1396492740
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
9079 W Post Rd Ste 100
Las Vegas, NV 89148-2414
Phone
(833) 759-8720
NPI assigned
Mar 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 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 Primary

Addresses

Primary practice location

9079 W Post Rd Ste 100
Las Vegas, NV 89148-2414

Mailing address

5800 Purple Haze St
Las Vegas, NV 89148-4581
Phone (217) 725-4148

Other practice location 1

6345 S Jones Blvd Ste 300
Las Vegas, NV 89118-3334
Phone (702) 515-4009

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherN/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230122000045 NV Practitioner - Occupational Therapist in Private Practice 1951772318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speakeasy Therapy Services, LLC Occupational Therapist CurrentSince Aug 18, 2024 Accepting new patients

Locations

2490 Paseo Verde Pkwy
Ste 155
Henderson, NV 89074
Phone (702) 703-5540

6345 S Jones Blvd
Ste 300
Las Vegas, NV 89118
Phone (702) 515-7009

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": "1646524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1396492740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 PURPLE HAZE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484581",
            "telephone_number": "217-725-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9079 W POST RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482414",
            "telephone_number": "833-759-8720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6345 S Jones Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891183334",
            "country_code": "US",
            "telephone_number": "702-515-4009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-06",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.