Active NPI
Corinne Stites, OTRL
- Pediatric Occupational Therapist
- Chattanooga, TN
National Provider Identifier
1104951078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT1928
- Practice address
- 4295 Cromwell Rd
Ste 206
Chattanooga, TN 37421-2166 - Phone
- (423) 894-4774
- Fax
- (423) 894-4775
- NPI assigned
- Feb 22, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT1928 | TN | Primary |
Addresses
Primary practice location
4295 Cromwell Rd
Ste 206
Chattanooga, TN 37421-2166
Mailing address
1107 Elaine TRL
Chattanooga, TN 37421-4017
Phone (423) 894-4774
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 |
|---|---|---|---|
| OT1928 | TN | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics Plus, Inc. | Pediatrics | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104951078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 ELAINE TRL",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214017",
"telephone_number": "423-894-4774",
"fax_number": "423-894-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4295 CROMWELL RD",
"address_2": "STE 206",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212166",
"telephone_number": "423-894-4774",
"fax_number": "423-894-4775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STITES",
"first_name": "CORINNE",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TN",
"license": "OT1928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.