Active NPI
Teresa Lorraine D'Avanzo, OT
- Occupational Therapist
- Athens, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3977
- Practice address
- 311 Congress Pkwy N Ste 800
Athens, TN 37303-1697 - Phone
- (423) 744-0890
- Fax
- (423) 744-0849
- NPI assigned
- Sep 24, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT005234 | GA | |
| Occupational Therapist | 225X00000X | OT3977 | TN | Primary |
Addresses
Primary practice location
311 Congress Pkwy N Ste 800
Athens, TN 37303-1697
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-7217
Other practice location 1
1394 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4010
Phone (706) 858-0252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chattanooga Hamilton County Hospital Authority
Practice addresses (Care Compare)
1809 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-7185
Phone (423) 648-0698
6986 Nashville St
Ringgold, GA 30736-2420
Phone (423) 778-3110
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3977 | TN | MD | Social Worker |
| OT005234 | GA | MD | Occupational Therapist |
| OT3977 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Occupational Therapist | Current | Accepting new patients |
| Independent Physical Therapy, LLC | Occupational Therapist | Current | Accepting new patients |
| Erlanger Health | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Erlanger Health | Occupational Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Occupational Therapist | Current | Accepting new patients |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Independent Physical Therapy | Occupational Therapist | Current | Accepting new patients |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
1394 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 858-0252
6986 Nashville St
Ringgold, GA 30736
Phone (423) 778-3110
60 Erlanger South Dr
Ringgold, GA 30736
Phone (706) 937-9292
311 Congress Pkwy N
Ste 800
Athens, TN 37303
Phone (423) 744-0890
1100 E 3rd St
Ste G103
Chattanooga, TN 37403
Phone (423) 648-0698
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
1809 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 648-0698
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
3575 Keith St NW
Ste 205
Cleveland, TN 37312
Phone (423) 559-0444
1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192
820 Scenic Hwy
Ste B
Lookout Mtn, TN 37350
Phone (423) 825-1393
8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923
2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1477256303
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
-
- Physical Therapist
- Chattanooga, TN
- NPI 1104878354
Occupational Therapist
-
- Family Medicine Physician
- Ringgold, GA
- NPI 1477692549
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
Occupational Therapist
-
- Medicare Defined Swing Bed Hospital Unit
- Pikeville, TN
- NPI 1073622007
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
Occupational Therapist
-
- Physical Therapist
- Sale Creek, TN
- NPI 1730678152
Occupational Therapist
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1235447251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6397 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214915",
"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": "311 CONGRESS PKWY N STE 800",
"city": "ATHENS",
"state": "TN",
"postal_code": "373031697",
"telephone_number": "423-744-0890",
"fax_number": "423-744-0849"
}
],
"practiceLocations": [
{
"address_1": "1394 Battlefield Pkwy",
"address_purpose": "LOCATION",
"city": "Fort Oglethorpe",
"state": "GA",
"postal_code": "307424010",
"country_code": "US",
"telephone_number": "706-858-0252",
"fax_number": "706-858-0323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "D'AVANZO",
"first_name": "TERESA",
"middle_name": "LORRAINE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT005234",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "OT3977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.