Active NPI
Rtia Faye Qualls, OTR/L
- Occupational Therapist
- Springfield, TN
National Provider Identifier
1104166453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 224
- Practice address
- 3131 Tom Austin Hwy
Springfield, TN 37172-4801 - Phone
- (605) 382-7979
- Fax
- (877) 534-4431
- NPI assigned
- Feb 25, 2013
- 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 | 224 | AR | Primary |
Addresses
Primary practice location
3131 Tom Austin Hwy
Springfield, TN 37172-4801
Mailing address
3131 Tom Austin Hwy
Springfield, TN 37172-4801
Phone (605) 382-7979
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
| License | State | Type | Specialty |
|---|---|---|---|
| 224 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1104166453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 TOM AUSTIN HWY",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371724801",
"telephone_number": "605-382-7979",
"fax_number": "877-534-4431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 TOM AUSTIN HWY",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371724801",
"telephone_number": "605-382-7979",
"fax_number": "877-534-4431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUALLS",
"first_name": "RTIA",
"middle_name": "FAYE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-25",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.