Benjamin Glenn Groff, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

119584 Issued in TX

Practice address

17270 Red Oak Dr Ste 200
Houston, TX 77090-2632

Phone

(281) 440-6960

Fax

(281) 440-6205

NPI assigned

Feb 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1356808695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17270 RED OAK DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902632",
            "telephone_number": "281-440-6960",
            "fax_number": "281-440-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17270 RED OAK DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902632",
            "telephone_number": "281-440-6960",
            "fax_number": "281-440-6205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13333 Dotson Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770704305",
            "country_code": "US",
            "telephone_number": "281-440-6960",
            "fax_number": "281-440-6205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2255 E Mossy Oaks Rd Ste 440",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773891812",
            "country_code": "US",
            "telephone_number": "281-440-6960",
            "fax_number": "281-440-6205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROFF",
        "first_name": "BENJAMIN",
        "middle_name": "GLENN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "119584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "119584",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Orina Grobengieser, DO
• Mark Groblewski, LCSW
• Robert Wayne Grodner, D.D.S.
• Alfred Leonard Groen, MD
• Erin Groeteke, LPC
• Connor Kenneth Groff
• Geoffrey A Groff, M.D.
• Holli Ann Groff, O.D.
• Kathleen Jo Groff, CCCSLP
• Luke James Grome

• Occupational Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.