Mr Brandon Grover, OTR/L is a
Occupational Therapist based in Omro, Wisconsin. Mr Brandon Grover is licensed to practice in Wisconsin (license number 9065-26) and his current practice location is
500 Grant Ave, Omro, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 685-2755.
NPI number for Mr Brandon Grover is 1518896406 and his current mailing address is 115 E Washington St Apt 305, Appleton, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518896406.
Healthcare Provider's Profile
| Full Name | Mr Brandon Grover |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 500 Grant Ave, Omro, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518896406
- Provider Enumeration Date: 05/16/2026
- Last Update Date: 05/16/2026
Medical Identifiers
Medical identifiers for Mr Brandon Grover such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518896406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 9065-26 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brandon Grover is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Brandon Grover, OTR/L
115 E Washington St Apt 305,
Appleton, WI 54911-5442
Ph: () - | Mr Brandon Grover, OTR/L
500 Grant Ave,
Omro, WI 54963-1342
Ph: (920) 685-2755 |
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