Lori D Grismore, OT | |
4001 E Fletcher Ave, Tampa, FL 33613-4808 | |
(813) 396-0724 | |
Not Available |
Full Name | Lori D Grismore |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 28 Years |
Location | 4001 E Fletcher Ave, Tampa, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255309191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT003659 (Ohio) | Primary |
225X00000X | Occupational Therapist | OT 14931 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Medical Service Association Inc | 6800790221 | 583 |
Provider Name | University Medical Service Association Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Mailing Address | Practice Location Address |
---|---|
Lori D Grismore, OT 4001 E Fletcher Ave, Tampa, FL 33613-4808 Ph: (813) 396-0724 | Lori D Grismore, OT 4001 E Fletcher Ave, Tampa, FL 33613-4808 Ph: (813) 396-0724 |
Ria Resurreccion Camerino, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 N Rocky Point Dr, #650, Tampa, FL 33607 Phone: 800-892-0640 | |
Mrs. Lauren Cheryl Sheridan, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5035 E Busch Blvd Ste 7, Tampa, FL 33617 Phone: 813-631-9700 | |
Mrs. Nancy Nmn Mcgee-hernandez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Mailing Code 117, Tampa, FL 33612 Phone: 813-972-2000 Fax: 813-978-5852 | |
Michele Garrett Foon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6508 Gunn Hwy, Tampa, FL 33625 Phone: 813-963-6923 Fax: 813-264-0768 | |
Twanettha Henry, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 E 22nd Ave, Tampa, FL 33605 Phone: 813-229-6901 | |
Kelsey Mcneely, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1907 W Bristol Ave, Tampa, FL 33606 Phone: 678-549-9088 | |
Valentina Solunac, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Bayshore Blvd, Tampa, FL 33629 Phone: 813-352-1776 |