Tessa Caroleen Gravante, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTP-OT-LIC-7786 Issued in MT

Practice address

3031 S Russell St Ste B
Missoula, MT 59801-8523

Phone

(406) 396-4130

NPI assigned

Jan 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tessa Caroleen Dedominic Former name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moving Mountains Therapy Center, PLLCGroup PAC ID 6709298276, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Moving Mountains Therapy Center, PLLC

  • Mental Health Occupational Therapist
  • Missoula, MT
  • NPI 1528526894
  Medicare reassignment Care Compare group NPD
• Eat Move Grow LLC

  • Occupational Therapist
  • Missoula, MT
  • NPI 1255889846
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1790292415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 S RUSSELL ST STE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018523",
            "telephone_number": "406-396-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 S RUSSELL ST STE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018523",
            "telephone_number": "406-396-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVANTE",
        "first_name": "TESSA",
        "middle_name": "CAROLEEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-OT-LIC-7786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "DEDOMINIC",
            "middle_name": "CAROLEEN",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Granite Counseling of Montana, LLC
• Granite Pharmacy Missoula, LLC
• Francienne Linda-Ann Grantsaris, FNP-C
• Nicole Gratch, LCSW
• Grateful Insight LLC
• Meghan Rose Graves, RBT
• Stacey Lynn Graves, MA, LCPC
• Gray Chiropractic Offices, P.C.
• Corey Welch Gray, D.C.
• Darren Francis Gray, M.D.

• Occupational Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.