Individual provider Active NPI

Lisa Grabiel, MS, OTR/L

  • Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1689264590
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201008430 Issued in MI
Practice address
2020 Raybrook St SE Ste 202
Grand Rapids, MI 49546-7717
Phone
(616) 285-6777
Fax
(616) 285-6063
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 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 5201008430 MI Primary

Addresses

Primary practice location

2020 Raybrook St SE Ste 202
Grand Rapids, MI 49546-7717

Mailing address

3045 Meadow Way St SE
Grand Rapids, MI 49546-5722
Phone (616) 560-7763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5201008430MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Center for Behavioral Health and Rehabilitation CurrentSince Jan 31, 2021 Accepting new patients
Access OT Occupational Therapist CurrentSince Mar 6, 2022 Accepting new patients

Locations

2020 Raybrook St SE
Ste 202
Grand Rapids, MI 49546
Phone (616) 285-6777

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1689264590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 MEADOW WAY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465722",
            "telephone_number": "616-560-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 RAYBROOK ST SE STE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467717",
            "telephone_number": "616-285-6777",
            "fax_number": "616-285-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABIEL",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.