Twanna A Reaves, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2872 Issued in TN

Practice address

15 Matrix CV
Jackson, TN 38305-1686

Phone

(731) 736-0738

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Genevieve Therapy Services

  • Speech-Language Pathologist
  • Jackson, TN
  • NPI 1922474493
  NPD (past)
• Ut Lebonheur Pediatric Specialists, Inc.

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1093024101
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1124126321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MATRIX CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051686",
            "telephone_number": "731-736-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MATRIX CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051686",
            "telephone_number": "731-736-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES",
        "first_name": "TWANNA",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "2872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichcole Rau, NP
• Carolyn Ray, CASE MANAGER
• Lindsey Rayborn, APRN FNP-C
• James Dennis Read, D.D.S.
• Charity Reasons, NP
• Rebecca a. Griggs
• Mallory Mahala Record, MS, CCC-SLP
• Recovery Specialists of Mid South, LLC
• Red Embers Emergency Physicians, LLC
• Redden Total Therapy-South, LLC

• Occupational Therapist in Jackson, TN
• Providers in Jackson, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.