Individual provider Active NPI

Hannah Grandell, OTR/L

  • Occupational Therapist
  • Kent, WA
National Provider Identifier
1407592702
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC018390 Issued in PA
Practice address
25012 104TH Ave SE Ste C
Kent, WA 98030-2821
Phone
(253) 856-3477
Fax
(253) 856-3478
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X WA
Occupational Therapist 225X00000X OC018390 PA Primary

Addresses

Primary practice location

25012 104TH Ave SE Ste C
Kent, WA 98030-2821

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

4000 S Eastern Ave Ste 300
Las Vegas, NV 89119-0826
Phone (702) 734-2732

Other practice location 2

209 W Lancaster Ave Ste 100
Paoli, PA 19301-1749
Phone (484) 755-3756

Other identifiers 1

IdentifierTypeStateIssuer
OC018390OtherPASTATE LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NV, MA, PA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230406001910 WA Practitioner - Occupational Therapist in Private Practice 1254706161 Reassigns benefits to 1 organization
I20231102002692 NV Practitioner - Occupational Therapist in Private Practice 1254706161 Reassigns benefits to 1 organization
I20241009000339 MA Practitioner - Occupational Therapist in Private Practice 1254706161 Reassigns benefits to 1 organization
I20260623004236 PA Practitioner - Occupational Therapist in Private Practice 1254706161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians
Orthopedic Surgery, IncGroup PAC ID 0244207645, 25 clinicians

Practice addresses (Care Compare)

1558 Paoli Pike
West Chester, PA 19380-6123
Phone (267) 529-0050

92 Montvale Ave
Suite 1400
Stoneham, MA 02180-3629
Phone (781) 279-7040

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
85
Improvement activities
40
Cost
85.47

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC018390PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation LLC Occupational Therapist CurrentSince Oct 9, 2023 Accepting new patients
Apple Physical Therapy LLC Occupational Therapist CurrentSince Mar 20, 2023 Accepting new patients
Apple Physical Therapy, LLC Occupational Therapist CurrentSince Mar 20, 2023 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Oct 9, 2023 Accepting new patients
Orthopedic Surgery, Inc CurrentSince Sep 16, 2024 Accepting new patients

Locations

100 S Shore Dr
Ste 200
East Haven, CT 06512
Phone (217) 433-2804

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

405 Pearl St
Malden, MA 02148
Phone (781) 321-8785

92 Montvale Ave
Ste 1400
Stoneham, MA 02180
Phone (781) 279-7040

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

25012 104th Ave SE
Ste C
Kent, WA 98030
Phone (253) 856-3477

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

Organizations & group practices 6

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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1407592702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25012 104TH AVE SE STE C",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302821",
            "telephone_number": "253-856-3477",
            "fax_number": "253-856-3478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 S Eastern Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891190826",
            "country_code": "US",
            "telephone_number": "702-734-2732",
            "fax_number": "702-737-1453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 W Lancaster Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011749",
            "country_code": "US",
            "telephone_number": "484-755-3756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANDELL",
        "first_name": "HANNAH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "OC018390",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.

Verify at the official NPI Registry.