Rena Groome, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

113738 Issued in TX

Practice address

729 Wellington Dr
Monroe, GA 30655-8499

Phone

(817) 832-5983

NPI assigned

Aug 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1215243142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 WELLINGTON DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558499",
            "telephone_number": "817-832-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 WELLINGTON DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558499",
            "telephone_number": "817-832-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOME",
        "first_name": "RENA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113738",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214298601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "849T76",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Nell Graves, LPN
• Amanda Kaye Green, PNP
• Charles Goodwin Green, PHARM.D.
• Angela Maria Greene, RN, WHNP-BC
• Lindsey Elizabeth Grieser, APRN
• Natalie H Grooms, OT
• Guldmann Southeast
• Gwinnett Clinic, LTD
• Neda Habeeb, MD
• Lacristial Hall, CNA

• Occupational Therapist in Monroe, GA
• Providers in Monroe, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.