Individual provider Active NPI

Hannah Grandlund

  • Occupational Therapist
  • Monticello, MN
National Provider Identifier
1629950548
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
107779 Issued in MN
Practice address
1107 Hart Blvd Ste 10
Monticello, MN 55362-8539
Phone
(763) 295-6878
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 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 107779 MN Primary

Addresses

Primary practice location

1107 Hart Blvd Ste 10
Monticello, MN 55362-8539

Mailing address

1107 Hart Blvd Ste 10
Monticello, MN 55362-8539
Phone (763) 295-6878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821002504 MN Practitioner - Occupational Therapist in Private Practice 8325548605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16366 County Rd
Suite 30
Maple Grove, MN 55311

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107779MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Outpatient Rehabilitation East Inc Current Accepting new patients
Novacare Outpatient Rehabilitation East Inc Occupational Therapist CurrentSince Jul 30, 2025 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Jul 30, 2025 Accepting new patients

Locations

16366 County Road 30
Maple Grove, MN 55311
Phone (651) 203-4673

10091 Dogwood St NW
Minneapolis, MN 55448
Phone (763) 450-0298

1107 Hart Blvd
Ste 10
Monticello, MN 55362
Phone (763) 271-6865

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": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1629950548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HART BLVD STE 10",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628539",
            "telephone_number": "763-295-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 HART BLVD STE 10",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628539",
            "telephone_number": "763-295-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDLUND",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "107779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.