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

Individual provider Occupational Therapist · NPI 1477636447

Marty Wade Grooms, OTRL is an Occupational Therapist in Private Practice in Jackson, Tennessee. Qualified in 2001, 25 years ago. Practices with West Tennessee Bone and Joint Clinic PC, a 63-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
25
Licensed in
TN
In the registry since
2006
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Practice location Address checks out

24 Physicians Dr
Jackson, TN 38305-2070
Phone: (731) 410-2357
Fax: (731) 410-2304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 02904 (TN)

Record details

NPI number1477636447
Entity typeIndividual (Type 1)
GenderMale
Credentials OTRL
Sole proprietorYes
NPI enumeratedOctober 23, 2006
Last updated in NPPESOctober 13, 2011

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice West Tennessee Bone And Joint Clinic Pc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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