Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breena Kathleen Tice, MHS-OTR/L

Individual provider Occupational Therapist · NPI 1518125350

Breena Kathleen Tice, MHS-OTR/L is an Occupational Therapist in Private Practice in Grovetown, Georgia. Qualified in 2008, 18 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Years since qualifying
18
Licensed in
GA
In the registry since
2008

Practice location Address checks out

5000 Gateway Blvd
Grovetown, GA 30813-3353
Phone: (762) 622-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2315 Central Ave Ste C, Augusta, GA 30904-6246 — (706) 364-6172

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT004753 (GA)

Record details

NPI number1518125350
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHS-OTR/L
Sole proprietorYes
NPI enumeratedMay 29, 2008
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Grovetown