Active NPI
Alexandra Grooms
- Occupational Therapist
- Lumberton, NC
National Provider Identifier
1699604256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT013072
- Practice address
- 1555 Willis Ave
Lumberton, NC 28358-4283 - Phone
- (910) 739-6048
- NPI assigned
- May 18, 2026
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT013072 | OH | Primary |
Addresses
Primary practice location
1555 Willis Ave
Lumberton, NC 28358-4283
Mailing address
6830 Liberty Farms CT
Liberty TWP, OH 45011-8334
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 |
|---|---|---|---|
| OT013072 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1699604256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 LIBERTY FARMS CT",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "450118334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 WILLIS AVE",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283584283",
"telephone_number": "910-739-6048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROOMS",
"first_name": "ALEXANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-18",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT013072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.