Active NPI
Larry Wayne Groves, PT, ATC
- Military Health Care Provider
- Sheppard Afb, TX
National Provider Identifier
1457558751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- AT00007
- Practice address
- 149 Hart St
82D Medical Group - SGH
Sheppard Afb, TX 76311-3477 - Phone
- (940) 676-4274
- NPI assigned
- Jun 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | PT01648 | MO | |
| Military Health Care Provider | 171000000X | AT00007 | MO | Primary |
Addresses
Primary practice location
149 Hart St
82D Medical Group - SGH
Sheppard Afb, TX 76311-3477
Mailing address
1105 Blue Jay St
Burkburnett, TX 76354-2859
Phone (940) 569-1095
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 |
|---|---|---|---|
| AT00007 | MO | MD | Military Health Care Provider |
| PT01648 | MO | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1457558751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 BLUE JAY ST",
"city": "BURKBURNETT",
"state": "TX",
"postal_code": "763542859",
"telephone_number": "940-569-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 HART ST",
"address_2": "82D MEDICAL GROUP - SGH",
"city": "SHEPPARD AFB",
"state": "TX",
"postal_code": "763113477",
"telephone_number": "940-676-4274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVES",
"first_name": "LARRY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "PT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "MO",
"license": "PT01648",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "MO",
"license": "AT00007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheppard Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.