Active NPI
Allison Ganier Havercamp, OT
- Occupational Therapist
- Jackson, TN
National Provider Identifier
1033449541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2888
- Practice address
- 34 Garland Dr
Jackson, TN 38305-3654 - Phone
- (731) 668-3322
- NPI assigned
- Jan 5, 2010
- Last updated
- Jan 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2888 | TN | Primary |
Addresses
Primary practice location
34 Garland Dr
Jackson, TN 38305-3654
Mailing address
34 Garland Dr
Jackson, TN 38305-3654
Phone (731) 668-3322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lift Therapy, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262649600000",
"number": "1033449541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 GARLAND DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053654",
"telephone_number": "731-668-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 GARLAND DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053654",
"telephone_number": "731-668-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVERCAMP",
"first_name": "ALLISON",
"middle_name": "GANIER",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-05",
"last_updated": "2010-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "2888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.