Allison R Granville

Individual provider Active NPI Occupational Therapist · Harvard, MA

NPI 1821946237 · NPPES record last updated Mar 20, 2026

Key facts

NPI
1821946237
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
12866 (MA)
Practice address
17 E Bare Hill Rd
Harvard, MA 01451-1851
Phone
(614) 620-0864
NPI assigned
Mar 20, 2026
Sex
Female
Sole proprietor
No

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1551 Aristides Blvd Apt
Suite 1102
Lexington, KY 40511-1671

228 Park Ave S
Suite 36053
New York, NY 10003-0103

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260330000889 MA Practitioner - Occupational Therapist in Private Practice 3779068689

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
12866MAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 12866 MA Yes

Addresses

Primary practice location

17 E Bare Hill Rd
Harvard, MA 01451-1851

Mailing address

17 E Bare Hill Rd
Harvard, MA 01451-1851

Other providers in Harvard, MA

All providers in Harvard, MA · Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.