Active NPI
Nancy Kendell Groom, PT, DPT
- Physical Therapist
- Mansfield, TX
National Provider Identifier
1245009794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1372876
- Practice address
- 200 E Debbie LN
Mansfield, TX 76063-9211 - Phone
- (682) 341-0170
- NPI assigned
- Dec 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1372876 | TX | Primary |
Addresses
Primary practice location
200 E Debbie LN
Mansfield, TX 76063-9211
Mailing address
8121 Glenn Day Dr
Arlington, TX 76002-4341
Phone (972) 824-7160
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1372876 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1245009794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8121 GLENN DAY DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760024341",
"telephone_number": "972-824-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E DEBBIE LN",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639211",
"telephone_number": "682-341-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROOM",
"first_name": "NANCY",
"middle_name": "KENDELL",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-26",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1372876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.