Autumn Ballard, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Savannah, TN

NPI 1003478702 · NPPES record last updated Jul 2, 2019

Key facts

NPI
1003478702
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
935 Wayne Rd
Savannah, TN 38372-1904
Phone
(731) 727-8010
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Right Lead Therapy, LLC Current
since Feb 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

935 Wayne Rd
Savannah, TN 38372-1904

Mailing address

65 Shannon LN
Counce, TN 38326-2044
Phone (731) 438-1140

Other names

  • Autumn Baugus Former name

Other providers in Savannah, TN

All providers in Savannah, TN · Occupational Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.