Active NPI
Emily Spears
- Occupational Therapist
- Lebanon, TN
National Provider Identifier
1245821180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6660
- Practice address
- 1409 Winter Dr
Lebanon, TN 37087-2529 - Phone
- (615) 444-5556
- NPI assigned
- Feb 2, 2021
- Last updated
- Feb 2, 2021
- 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 | 6660 | TN | Primary |
Addresses
Primary practice location
1409 Winter Dr
Lebanon, TN 37087-2529
Mailing address
8760 Rhodes LN
Lascassas, TN 37085-4428
Phone (615) 278-4549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6660 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Pathways Preferred of Tennessee LLC | Occupational Therapist | Current | Accepting new patients |
Locations
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2849
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Knoxville, TN
- NPI 1841561446
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1245821180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8760 RHODES LN",
"city": "LASCASSAS",
"state": "TN",
"postal_code": "370854428",
"telephone_number": "615-278-4549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 WINTER DR",
"city": "LEBANON",
"state": "TN",
"postal_code": "370872529",
"telephone_number": "615-444-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-02",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "6660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6660",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
- Ali N Sorrell, FNP-C
- Kylie Sorrells, DPT
- Hardie V Sorrels IV, MD
- Hardie V Sorrels III, M.D.
- Southern Manor Living Centers of Lebanon, LLC
- Sydney Gabrielle Spurgeon, PA-C
- SSC Lebanon Operating Company LLC (Lebanon Health and Rehabilitation Center)
- Michael E Staggs Jr., LPN
- Danielle Deslauriers Stamps, FNP
- Kimberly Staples, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.