Individual provider Active NPI

Macayla Brooke Thaggard, COTA/L

  • Occupational Therapy Assistant
  • Maryville, TN
National Provider Identifier
1265258685
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
4182 Issued in TN
Practice address
219 Heritage Crossing Dr
Maryville, TN 37804-4712
Phone
(865) 824-8462
NPI assigned
Dec 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 4182 TN Primary

Addresses

Primary practice location

219 Heritage Crossing Dr
Maryville, TN 37804-4712

Mailing address

219 Heritage Crossing Dr
Maryville, TN 37804-4712
Phone (865) 824-8462

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4182TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Tomorrow Therapy & Wellness Center, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1265258685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 HERITAGE CROSSING DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378044712",
            "telephone_number": "865-824-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 HERITAGE CROSSING DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378044712",
            "telephone_number": "865-824-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAGGARD",
        "first_name": "MACAYLA",
        "middle_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "4182",
            "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 Dec 2, 2024; 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.