Wendy Sue Hiatt, MSOT

Individual provider Active NPI Occupational Therapist · Brentwoood, TN

NPI 1306142385 · NPPES record last updated Feb 8, 2011

Key facts

NPI
1306142385
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT4259 (TN)
Practice address
1647 Mallory Lane
Suite 103
Brentwoood, TN 37027
Phone
(615) 661-5437
NPI assigned
Feb 8, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT4259TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
High Hopes, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT4259 TN Yes

Addresses

Primary practice location

1647 Mallory Lane
Suite 103
Brentwoood, TN 37027

Mailing address

1647 Mallory Lane
Suite 103
Brentwoood, TN 37027
Phone (615) 661-5437

Sources for this page

Verify at the official NPI Registry.