Therapeutic Rehab Services

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THERAPEUTIC REHAB SERVICES

Practice address

500 Lebanon Valley Church Rd
Cleveland, TN 37311-8477

Phone

(423) 310-0555

Fax

(423) 479-4421

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cathy Lynn Otis, OTNPI 1336363126

Title

Business Owner/OT

Phone

(423) 310-0555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cathy Lynn Otis, OT

  • Occupational Therapist
  • Cleveland, TN
  • NPI 1336363126
  Medicare reassignment NPD Authorized official
• Stacy Leigh Licht, PT, DPT

  • Physical Therapist
  • Cleveland, TN
  • NPI 1902048069
  Medicare reassignment
• Sarah A Faulkner, SP

  • Speech-Language Pathologist
  • Cleveland, TN
  • NPI 1528499316
  NPD (past)
• Jessica Anne Stone, PT

  • Physical Therapist
  • Cleveland, TN
  • NPI 1023232832
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164634820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LEBANON VALLEY CHURCH RD",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373118477",
            "telephone_number": "423-310-0555",
            "fax_number": "423-479-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LEBANON VALLEY CHURCH RD",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373118477",
            "telephone_number": "423-310-0555",
            "fax_number": "423-479-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OTIS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BUSINESS OWNER/OT",
        "authorized_official_telephone_number": "423-310-0555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514708",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andra Lynee Tharp, PHD
• Winona Grace Thatcher, RBT
• The Chiropractic Center
• The Cleveland Clinic of TN, P.C.
• The Talk Stop, LLC
• Sunny Q Thibodeaux, NURSE PRACTIONIER
• Christine Preston Thomas, RN
• Clint Bradley Thomas, OT, CHT
• Kayla Thomas
• Nicolee Kline Thomas, SLP-CCC

• Physical Therapy Clinic/Center in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.