Bryanna Grant
Individual provider Active NPI Occupational Therapist · Evansville, IN
NPI 1821490939 · NPPES record last updated Sep 19, 2014
Key facts
- NPI
- 1821490939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 31004986A (IN)
- Practice address
- 225 Crosslake Dr
Evansville, IN 47715-8198 - Phone
- (812) 477-1558
- Fax
- (812) 474-2296
- NPI assigned
- Sep 19, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 30
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri-State Orthopaedic Surgeons Inc
Orthopaedics-Indianapolis Inc
Prorehab Inc
Practice addresses (Care Compare)
225 Crosslake Dr
Evansville, IN 47715-8198
Phone (812) 477-1558
5625 Pearl Dr
Suite 100
Evansville, IN 47712-8106
Phone (812) 759-7493
Merit-based Incentive Payment System (MIPS)
- Final score
- 66.6 of 100
- Quality
- 60.71
- Promoting interoperability
- 33
- Improvement activities
- 40
- Cost
- 83.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141006002257 | IN | Practitioner - Occupational Therapist in Private Practice | 5092935429 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Orthopaedic Surgeons, Inc. | Current |
Accepting new patients | |
| Prorehab Inc | Occupational Therapist | Current |
Accepting new patients |
| Prorehab Inc | Occupational Therapist | Current |
Accepting new patients |
| Tri-State Orthopaedic Surgeons, Inc. | Current |
Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Current |
Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Current |
Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Occupational Therapist | Current | Accepting new patients |
Locations
3070 Warrick Dr
Boonville, IN 47601
Phone (812) 431-0517
5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800
4659 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001
415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764
5625 Pearl Dr
Ste 100
Evansville, IN 47712
Phone (812) 759-7493
7300 E Indiana St
Ste 102
Evansville, IN 47715
Phone (812) 759-7451
225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677
75 Industrial Park Rd
Ste D
Ferdinand, IN 47532
Phone (502) 882-9379
10294 S 150 E
Haubstadt, IN 47639
Phone (812) 768-5207
8450 Northwest Blvd
Indianapolis, IN 46278
8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464
826 N State Road 161
Ste B
Rockport, IN 47635
Phone (812) 627-7007
2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141
Interoperability endpoints
- referral5@prorehab-east.direct.kno2fy.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31004986A | IN | Yes |
Addresses
Primary practice location
225 Crosslake Dr
Evansville, IN 47715-8198
Mailing address
7300 E Indiana St
Suite 102
Evansville, IN 47715-2794
Phone (812) 476-0409
Other providers in Evansville, IN
- Tana Graham
- Kenneth John Grall Jr.
- Don Thomas Granger
- Alison N Grant
- Brian Neal Grant
- Angela K. Graves
- John Graves
- Cymone Gray
- David Gray
- David C Gray
All providers in Evansville, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.