Individual provider Active NPI

Teresa Lorraine D'Avanzo, OT

  • Occupational Therapist
  • Athens, TN
National Provider Identifier
1235447251
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3977 Issued in TN
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

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110120001117 TN Practitioner - Occupational Therapist in Private Practice 1355520438 Reassigns benefits to 3 organizations
I20190509002816 GA Practitioner - Occupational Therapist in Private Practice 1355520438 Reassigns benefits to 2 organizations
Practice locations: Ft Oglethorpe, GA

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 AuthorityGroup PAC ID 0547179731, shared by 5 NPIs, 159 clinicians
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

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 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3977TNMDSocial Worker
OT005234GAMDOccupational Therapist
OT3977TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Mar 25, 2019 Accepting new patients
Independent Physical Therapy, LLC Occupational Therapist CurrentSince Jan 1, 2020 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jan 13, 2022 Accepting new patients
Erlanger Health Occupational Therapist CurrentSince Jul 1, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Mar 25, 2019 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 25, 2021 Accepting new patients
Independent Physical Therapy Occupational Therapist CurrentSince Jan 1, 2020 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 25, 2021 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.

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.

Verify at the official NPI Registry.