Active NPI
Taylor Grace Kovacic, OTR
- Occupational Therapist
- Maryville, TN
National Provider Identifier
1225977192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8624
- Practice address
- 2317 US Highway 411 S
Maryville, TN 37801-8634 - Phone
- (865) 238-5338
- NPI assigned
- Mar 26, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8624 | TN | Primary |
Addresses
Primary practice location
2317 US Highway 411 S
Maryville, TN 37801-8634
Mailing address
709 Villa Crest Dr
Knoxville, TN 37923-6313
Phone (865) 406-7680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Carrick CT
Mt Juliet, TN 37122-8328
Phone (615) 380-4843
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8624 | TN | MD | Occupational Therapist |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Mount Juliet, TN
- NPI 1467023861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1225977192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 VILLA CREST DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379236313",
"telephone_number": "865-406-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 US HIGHWAY 411 S",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378018634",
"telephone_number": "865-238-5338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACIC",
"first_name": "TAYLOR",
"middle_name": "GRACE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-26",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "8624",
"primary": true
}
],
"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 Mar 26, 2026; 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.