Active NPI
Rosemarie Jennifer Mexted, OTR
- Physical Rehabilitation Occupational Therapist
- Maryville, TN
National Provider Identifier
1154453173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 4247
- Practice address
- 2030 Chilhowee Medical Park
Maryville, TN 37804-5285 - Phone
- (865) 982-3400
- Fax
- (865) 238-2034
- NPI assigned
- Mar 12, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8296 | CA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 4247 | TN | Primary |
| Occupational Therapist | 225X00000X | 6557 | NC |
Addresses
Primary practice location
2030 Chilhowee Medical Park
Maryville, TN 37804-5285
Mailing address
PO Box 5209
Maryville, TN 37802-5209
Phone (865) 982-3400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8296 | CA | MD | Speech-Language Pathologist |
| 4247 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Pathology Services of East Tennessee LLC | Occupational Therapist | Past | Accepting new patients |
| Little Tennessee Valley Educational Cooperative | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Loudon, TN
- NPI 1114256039
-
- Rehabilitation Clinic/Center
- Maryville, TN
- NPI 1659466712
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1154453173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5209",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378025209",
"telephone_number": "865-982-3400",
"fax_number": "865-238-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 CHILHOWEE MEDICAL PARK",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045285",
"telephone_number": "865-982-3400",
"fax_number": "865-238-2034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEXTED",
"first_name": "ROSEMARIE",
"middle_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "8296",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "TN",
"license": "4247",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6557",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.