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

Grace Genevieve Tisdale, OTR/L

Individual provider Occupational Therapist · NPI 1174355614

Grace Genevieve Tisdale, OTR/L is an Occupational Therapist in Private Practice in Germantown, Tennessee. Graduated from University of Mississippi School of Medicine in 2024, 2 years ago. Practices with MSK Group PC, a 139-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
2
Trained at
University of Mississippi School of Medicine
Licensed in
MS, TN
In the registry since
2024
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2100 Exeter Rd Ste 200
Germantown, TN 38138-3966
Phone: (901) 522-6440
Fax: (901) 757-2507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1355 Lynnfield Rd Ste 187, Memphis, TN 38119-5883 — (901) 761-4263

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 8100 (TN)
Occupational Therapist Taxonomy 225X00000X · Licence 4170 (MS)

Record details

NPI number1174355614
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 14, 2024
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Msk Group Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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