● Active Type 1 · Individual

Breena Kathleen Tice, MHS - OTR/L

Occupational Therapist·Grovetown, GA· NPI 1518125350 · Enumerated 2008 · 17 years on NPI

Tice is 1 of 12 occupational therapist providers in Grovetown and 1 of 3276 in Georgia.

NPI age

17 years

Enumerated 2008-05-29

Primary specialty

Occupational Therapist

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2026-03-24

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 3276 active occupational therapist providers in Georgia.

NPI age

17 years

↑ 8 yr above median (9 yr)

State licenses

1 state

6% of peers hold multiple states

Subspecialties

14% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES

2008 2026

Where they practice

Practice location

5000 Gateway Blvd

Grovetown, GA 308133353

📞 7626224000

Mailing address

5000 Gateway Blvd

Grovetown, GA 308133353

📞 7626224000

Additional practice locations

1 secondary location on file with NPPES.

Location 2

2315 Central Ave Ste C

Augusta, GA 309046246

📞 7063646172fax 7062622893

Specialties

Respiratory, Developmental, Rehabilitative and Restorative Service Providers › Occupational Therapist

Occupational Therapist Primary

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...

GA license #OT004753 taxonomy 225X00000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new occupational therapist providers have been added in Grovetown in the last 180 days. See all →

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.