Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Gram, OTR/L

Individual provider Physical Therapy Clinic/Center · NPI 1518627116

Matthew Gram, OTR/L is a Physical Therapy Clinic/Center in Saint Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1600 University Ave W # 10
Saint Paul, MN 55104-3898
Phone: (651) 646-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 106669 (MN)

Record details

NPI number1518627116
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedDecember 22, 2021
Last updated in NPPESDecember 22, 2021
Certification dateDecember 16, 2021

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