Therapeutic Services of Morristown Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00573 Issued in TN

Legal business name

THERAPEUTIC SERVICES OF MORRISTOWN INC.

Practice address

5250 W. Andrew Johnson Hwy.
Morristown, TN 37814-1027

Phone

(423) 748-4800

Fax

(423) 317-3332

NPI assigned

Jul 6, 2006

Last updated

Jul 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jose P. Tan, OTR LNPI 1386773489

Title

Administrator

Phone

(423) 748-4800

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Penaranda Tan

  • Occupational Therapist
  • Morristown, TN
  • NPI 1386773489
  Authorized official Same address or phone

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1184655284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W. ANDREW JOHNSON HWY.",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378141027",
            "telephone_number": "423-318-7800",
            "fax_number": "423-317-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W. ANDREW JOHNSON HWY.",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378141027",
            "telephone_number": "423-748-4800",
            "fax_number": "423-317-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC SERVICES OF MORRISTOWN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-748-4800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT00573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3735744",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ellie Marie Thomas
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• Occupational Therapist in Morristown, TN
• Providers in Morristown, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.