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

Individual provider Occupational Therapist · NPI 1780985648

MS. Brenda Mae Grissom, OTR is an Occupational Therapist in Private Practice in Sheboygan, Wisconsin. Qualified in 2009, 17 years ago. Practices with Paxxon Healthcare Services LLC, a 153-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
17
Licensed in
WI
In the registry since
2010
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

3014 Erie Ave
Sheboygan, WI 53081-3658
Phone: (920) 459-3028
Fax: (920) 459-4341
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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 4870-026 (WI)

Record details

NPI number1780985648
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedNovember 9, 2010
Last updated in NPPESOctober 31, 2022
Certification dateOctober 31, 2022

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Paxxon Healthcare Services Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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