Individual provider Active NPI

Rachael E Grzywa, OTR/L

  • Occupational Therapist
  • Appleton, WI
National Provider Identifier
1831543529
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5576-26 Issued in WI
Practice address
2323 N Casaloma Dr
Appleton, WI 54913-8284
Phone
(207) 308-8833
Fax
(920) 738-9089
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 5576-26 WI
Occupational Therapist 225X00000X 5576-26 WI Primary

Addresses

Primary practice location

2323 N Casaloma Dr
Appleton, WI 54913-8284

Mailing address

2323 N Casaloma Dr
Appleton, WI 54913-8284
Phone (920) 730-8833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421001242 WI Practitioner - Occupational Therapist in Private Practice 4284932468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand to Shoulder Center of Wisconsin, LTD.Group PAC ID 6901884337, 34 clinicians

Practice addresses (Care Compare)

1551 Park PL
Green Bay, WI 54304-1982
Phone (920) 730-8833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5576-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand to Shoulder Center of Wisconsin, LTD. CurrentSince Mar 15, 2022 Accepting new patients
Hand to Shoulder Center of Wisconsin, LTD. CurrentSince Mar 15, 2022 Accepting new patients

Locations

2323 N Casaloma Dr
Appleton, WI 54913

2593 Development Dr
Ste 280
Green Bay, WI 54311
Phone (262) 646-8333

1551 Park Pl
Green Bay, WI 54304
Phone (773) 551-9490

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1831543529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N CASALOMA DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138284",
            "telephone_number": "920-730-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N CASALOMA DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138284",
            "telephone_number": "207-308-8833",
            "fax_number": "920-738-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZYWA",
        "first_name": "RACHAEL",
        "middle_name": "E",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WI",
            "license": "5576-26",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5576-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.