Individual provider Active NPI

Grace Tynan, OTD, OTR/L

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1699650739
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3046 Issued in NE
Practice address
16850 Frances St
Omaha, NE 68130-2640
Phone
(402) 330-3211
NPI assigned
Aug 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 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 3046 NE Primary

Addresses

Primary practice location

16850 Frances St
Omaha, NE 68130-2640

Mailing address

16850 Frances St
Omaha, NE 68130-2640

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924002425 NE Practitioner - Occupational Therapist in Private Practice 9931604659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare 3 IncGroup PAC ID 3072586254, 31 clinicians

Practice addresses (Care Compare)

4606 S 132ND St
Omaha, NE 68137-1764
Phone (402) 330-3211

4614 S 132ND St
Omaha, NE 68137-1764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3046NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare3, Inc. CurrentSince Aug 12, 2025 Accepting new patients

Locations

16850 Frances St
Ste 200
Omaha, NE 68130

4614 S 132nd St
Omaha, NE 68137
Phone (402) 330-3211

16850 Frances St
Omaha, NE 68130
Phone (402) 330-3211

545 Fortune Dr
Ste 100
Papillion, NE 68046
Phone (402) 991-0333

Organizations & group practices 1

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": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1699650739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16850 FRANCES ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16850 FRANCES ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302640",
            "telephone_number": "402-330-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNAN",
        "first_name": "GRACE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "3046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.