Grace Genevieve Tisdale, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8100 Issued in TN

Practice address

2100 Exeter Rd Ste 200
Germantown, TN 38138-3966

Phone

(901) 522-6440

Fax

(901) 757-2507

NPI assigned

Aug 14, 2024

Last updated

Jul 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Grace Crockett Former name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of Mississippi School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MSK Group PCGroup PAC ID 4688574262, 138 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MSK Group, PC

  dba OrthoSouth

  • Orthopaedic Surgery Physician
  • Memphis, TN
  • NPI 1376541409

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Memphis Hand Center, Inc

  dba Southern Hand Centers

  • Occupational Therapist
  • Memphis, TN
  • NPI 1811380702
  NPD
• MSK Group, PC

  dba OrthoSouth

  • Physical Therapist
  • Southaven, MS
  • NPI 1114793189
  NPD
• Memphis Hand Center, Inc

  dba Southern Hand Centers

  • Hand Occupational Therapist
  • Jackson, TN
  • NPI 1417006404
  NPD (past)
• MSK Group PC

  dba OrthoSouth

  • Orthopaedic Surgery Physician
  • Southaven, MS
  • NPI 1912303447
  NPD (past)

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1174355614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 EXETER RD STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383966",
            "telephone_number": "901-522-6440",
            "fax_number": "901-757-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EXETER RD STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383966",
            "telephone_number": "901-522-6440",
            "fax_number": "901-757-2507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 Lynnfield Rd Ste 187",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381195883",
            "country_code": "US",
            "telephone_number": "901-761-4263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TISDALE",
        "first_name": "GRACE",
        "middle_name": "GENEVIEVE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "4170",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "8100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "CROCKETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Todd D Tillmanns, M.D
• Timely Transportation, LLC
• Leighanne Otten Timmerman, PT
• Eric J Tiner, M.D.
• Lisa Michelle Tipton, PT
• Brandon Todd, MD
• Brett Toney
• Mallory Toney
• Quodarrius Marcell Toney, DDS
• Winnie Mao Yiu Tong, M.D.

• Occupational Therapist in Germantown, TN
• Providers in Germantown, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.