Tim Ray Brockett

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

7758 Issued in TN

Practice address

56 S Main St
Crossville, TN 38555-4520

Phone

(440) 812-2853

Fax

(931) 707-9474

NPI assigned

Jan 11, 2018

Last updated

May 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Brighter Beginnings

  • Occupational Therapist
  • Crossville, TN
  • NPI 1154126993
  NPD Authorized official
• Total Balance Therapy, PLLC

  • Physical Therapist
  • Crossville, TN
  • NPI 1467097576

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1093223182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554520",
            "telephone_number": "440-812-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554520",
            "telephone_number": "440-812-2853",
            "fax_number": "931-707-9474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Pearson St",
            "address_purpose": "LOCATION",
            "city": "Lehigh Acres",
            "state": "FL",
            "postal_code": "339740428",
            "country_code": "US",
            "telephone_number": "440-812-2853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKETT",
        "first_name": "TIM",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-11",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA16207",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22381",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "7758",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brighter Beginnings
• Frank Brindisi, D.C.
• Janie Ruth Bristol, R.N
• James Cecil Bristow
• Philip M Brock, OD
• Jessica Brooks
• Beau Lyndon Broussard, DMD
• Angela Lynn Brown, FNP-BC
• Barry J Brown, M.D.
• Bobbie Jean Brown, MLT

• Pediatric Occupational Therapist in Crossville, TN
• Providers in Crossville, TN by specialty
• Pediatric Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.