Individual provider Active NPI

Rebecca Sue McAfee, COTAL

  • Occupational Therapy Assistant
  • Greeneville, TN
National Provider Identifier
1083896609
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA103 Issued in TN
Practice address
4850 East Andrew Johnson Highway
Greene Valley Developmental Center
Greeneville, TN 37744-0910
Phone
(423) 787-6800
Fax
(423) 787-6574
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA103 TN Primary

Addresses

Primary practice location

4850 East Andrew Johnson Highway
Greene Valley Developmental Center
Greeneville, TN 37744-0910

Mailing address

PO Box 910
Greene Valley Developmental Center
Greeneville, TN 37744-0910
Phone (423) 787-6800

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA103TNMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1083896609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "address_2": "GREENE VALLEY DEVELOPMENTAL CENTER",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377440910",
            "telephone_number": "423-787-6800",
            "fax_number": "423-787-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 EAST ANDREW JOHNSON HIGHWAY",
            "address_2": "GREENE VALLEY DEVELOPMENTAL CENTER",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377440910",
            "telephone_number": "423-787-6800",
            "fax_number": "423-787-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAFEE",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "COTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "OTA103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.