Individual provider Active NPI

Bethany Abb Hall, OTR/L

  • Occupational Therapist
  • Lenoir City, TN
National Provider Identifier
1124577739
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
117936 Issued in TX
Practice address
1178 Hillside Lane
Lenoir City, TN 37771-8482
Phone
(865) 250-1065
NPI assigned
Sep 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 117936 TX Primary

Addresses

Primary practice location

1178 Hillside Lane
Lenoir City, TN 37771-8482

Mailing address

1178 Hillside LN
Lenoir City, TN 37771-8482
Phone (865) 250-1065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220321001170 TN Practitioner - Occupational Therapist in Private Practice 0941695464 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Clinic, PCGroup PAC ID 9638082076, 229 clinicians

Practice addresses (Care Compare)

335 W Spring St
Cookeville, TN 38501-3125
Phone (931) 526-9518

Merit-based Incentive Payment System (MIPS)

Final score
75.09 of 100Reported as group
Quality
50.47
Promoting interoperability
99
Improvement activities
40
Cost
67.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5514TNMDOrthopedic Physical Therapist
117936TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy, LLC Occupational Therapist CurrentSince Mar 28, 2022 Accepting new patients
Campbell Clinic PC CurrentSince Oct 24, 2022 Accepting new patients
Campbell Clinic, PC CurrentSince Oct 24, 2022 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Occupational Therapist CurrentSince Apr 17, 2023 Accepting new patients
Campbell Clinic Past Accepting new patients

Locations

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

335 W Spring St
Cookeville, TN 38501
Phone (931) 303-0446

317 W Spring St
Cookeville, TN 38501
Phone (931) 520-9250

35 Taylor Ave
Crossville, TN 38555
Phone (865) 483-8478

4512 Chapman Hwy
Knoxville, TN 37920
Phone (865) 277-7779

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1124577739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 HILLSIDE LN",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377718482",
            "telephone_number": "865-250-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 HILLSIDE LANE",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377718482",
            "telephone_number": "865-250-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BETHANY",
        "middle_name": "ABB",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.