Clint Bradley Thomas, OT, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2819 Issued in TN

Practice address

3575 Keith St NW
Ste 205
Cleveland, TN 37312-4324

Phone

(423) 559-0444

Fax

(423) 559-0103

NPI assigned

Sep 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1184873580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 KEITH ST NW",
            "address_2": "STE 205",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124324",
            "telephone_number": "423-559-0444",
            "fax_number": "423-559-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CLINT",
        "middle_name": "BRADLEY",
        "credential": "OT, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-10",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT2819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506784",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Cleveland Clinic of TN, P.C.
• The Talk Stop, LLC
• Therapeutic Rehab Services
• Sunny Q Thibodeaux, NURSE PRACTIONIER
• Christine Preston Thomas, RN
• Kayla Thomas
• Nicolee Kline Thomas, SLP-CCC
• Mary Thomason
• Dennis A. Thompson, D.O.
• Jenna Thompson, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.