Individual provider Active NPI

Rachel Ramsey Grooms, OTR/L

  • Occupational Therapist
  • Santee, SC
National Provider Identifier
1053501858
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2507 Issued in SC
Practice address
111 John Lawson Ave
Santee, SC 29412
Phone
(803) 395-2090
Fax
(803) 395-2097
NPI assigned
Jul 27, 2007
Last updated
Jul 27, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2507 SC Primary

Addresses

Primary practice location

111 John Lawson Ave
Santee, SC 29412

Mailing address

1031 Thomas Walters Rd
Pineville, SC 29468-3289
Phone (843) 351-4506

Other identifiers 1

IdentifierTypeStateIssuer
216535MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2507SCMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1053501858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 THOMAS WALTERS RD",
            "city": "PINEVILLE",
            "state": "SC",
            "postal_code": "294683289",
            "telephone_number": "843-351-4506",
            "fax_number": "803-395-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JOHN LAWSON AVE",
            "city": "SANTEE",
            "state": "SC",
            "postal_code": "29412",
            "telephone_number": "803-395-2090",
            "fax_number": "803-395-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOMS",
        "first_name": "RACHEL",
        "middle_name": "RAMSEY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216535",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.