Kate Mackenzie Grove

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

112757 Issued in TX

Practice address

1022 River Rd Ste 6
Boerne, TX 78006-2487

Phone

(830) 331-8600

NPI assigned

Feb 16, 2023

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boerne Speech Therapy LLCGroup PAC ID 5698075323, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Boerne Speech Therapy, LLC

  dba Trio Rehabilitation & Wellness Solutions

  • Physical Therapist
  • Boerne, TX
  • NPI 1477938942

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1366140691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MARIPOSA PKWY W",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 RIVER RD STE 6",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062487",
            "telephone_number": "830-331-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "KATE",
        "middle_name": "MACKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Brian Green
• Gale Gregory-Laine, D.O.
• Tristyn Lyn Greiman, PHARMD, RPH
• Natasha Gribble
• Aurora Grothe, MSN, APRN, FNP-C
• Terry Allen Grover, D.O.
• Guadalupe Medical Innovations
• Guidon Group Behavioral Health LLC
• Andrew Gullion
• John L Gunthrie Jr., CRNA

• Occupational Therapist in Boerne, TX
• Providers in Boerne, 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 16, 2023; 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.