Pamela Sue Grooms, OCCUPATIONAL THERAPY

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0784 Issued in TN

Practice address

928 Old Smithville Rd
McMinnville, TN 37110-6805

Phone

(931) 473-8431

Fax

(931) 473-8936

NPI assigned

Apr 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1619464849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 ELAM RD APT F209",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371276170",
            "telephone_number": "615-604-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 OLD SMITHVILLE RD",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371106805",
            "telephone_number": "931-473-8431",
            "fax_number": "931-473-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOMS",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "credential": "OCCUPATIONAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "784",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "0784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Krystal Ann Hall, CNM
• Christi M Hamm, CRNA
• Aaron Douglas Hampton, DO

• Occupational Therapist in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.