GRANT J HASENOUR (OT) – Occupational Therapist, NPI 1154686897
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
490 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IN
Provider Addresses for GRANT J HASENOUR (OT)
225 CROSSLAKE DR
EVANSVILLE, IN 477158198
Phone: (812) 477-1558
Fax: (812) 474-2296
Type: Location
7300 E INDIANA ST
SUITE 102
EVANSVILLE, IN 477152794
Phone: (812) 476-0409
Fax: (812) 476-1016
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121029000783 | I | Occupational Therapist In Private Practice | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 594 | 71 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 493 | 63 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 282 | 26 | $0 |
| 97530 | Therapy procedure using functional activities | 162 | 27 | $0 |
| 97166 | Evaluation for occupational therapy, typically 45 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 47715)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OCCUPATIONAL THERAPY | IN | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 953 | 118 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AL | |
| - | KY | |
| Physical Therapist In Private Practice | KY | |
| Physical Therapist In Private Practice | IN | |
| - | IN | |
| Occupational Therapist In Private Practice | IN | |
| - | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN |
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