Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Ryan Grandolfo, OTR/L

Individual provider Occupational Therapist · NPI 1841865177

Tara Ryan Grandolfo, OTR/L is an Occupational Therapist in McHenry, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
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

550 Ridgeview Dr
McHenry, IL 60050
Phone: (815) 900-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 452293 (IL)

Record details

NPI number1841865177
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 20, 2021
Last updated in NPPESMay 20, 2021
Certification dateApril 29, 2021

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