LORI D GRISMORE (OT) – Occupational Therapist, NPI 1255309191

LORI D GRISMORE (OT) is a healthcare provider. based in Tampa, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. OT003659 (OH). The NPI Number for LORI D GRISMORE (OT) is 1255309191

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
LORI D GRISMORE (OT)
NPI
1255309191
Phone
(813) 396-0724
Address
4001 E FLETCHER AVE
Enumeration Date
8 March 2006
Last Update Date
21 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
0648247163
Group Practice PAC ID
6800790221
Professional Enrollment ID
I20130725000039
Address ID
FL336126601TA13330DRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for LORI D GRISMORE (OT)

  • East Fletcher Avenue, Tampa, Hillsborough County, Florida, 33620, United States

    TAMPA, FL 336134808

    Phone: (813) 396-0724

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130725000039IOccupational Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities50513$0
View full utilization report →

Insurance plans in this area (ZIP 33613)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800790221View full group profile

Reviews

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Frequently asked questions

Does LORI D GRISMORE (OT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LORI D GRISMORE (OT) uses 1255309191.
Is LORI D GRISMORE (OT) listed as active for patients and plans?
The listing shows LORI D GRISMORE (OT) as active in the NPI system.
What is LORI D GRISMORE (OT)'s specialty?
The listing groups LORI D GRISMORE (OT) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is LORI D GRISMORE (OT) based?
LORI D GRISMORE (OT) is tied to Tampa, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.