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KIMBERLY MAXWELL GRANTIER
NPI 1770478091
Art Therapist in Minneapolis, MN

Active since June 09, 2025PECOS Enrolled
5027 36TH AVE S, MINNEAPOLIS, MN 55417(509) 304-4454 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Maxwell Grantier NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY MAXWELL GRANTIER (NPI 1770478091) is an individual art therapist in Minneapolis, Minnesota, licensed in Minnesota (25-077) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770478091
Entity TypeIndividualFemale
Primary Taxonomy221700000X
Provider Legal NameKIMBERLY MAXWELL GRANTIER
Location Address5027 36TH AVE SMinneapolis, MN 55417-1516
Mailing Address5027 36th Ave SMinneapolis, MN 55417-1516
Phone(509) 304-4454
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1770478091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyArt TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code221700000X
License✔ Licensed in MN · 25-077
Definition
(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.
5027 36TH AVE S, Minneapolis, MN 55417
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Maxwell Grantier is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800360330
PECOS Enrollment IDI20260706002274
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Grantier's NPI number?

The NPI number for Kimberly Grantier is 1770478091. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Kimberly Grantier located?

Kimberly Grantier practices at 5027 36th Ave S, Minneapolis, MN 55417. The listed phone number is (509) 304-4454.

What is Kimberly Grantier's specialty?

The primary specialty registered for this NPI is Art Therapist with taxonomy code 221700000X.

Is Kimberly Grantier enrolled in Medicare?

Yes. Kimberly Grantier is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Grantier was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.