Individual provider Active NPI

Lyndie Grace Scram, OTR

  • Occupational Therapist
  • Knoxville, TN
National Provider Identifier
1306235718
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT0000004948 Issued in TN
Practice address
1906 Greenland Way Apt 303
Knoxville, TN 37932-1835
Phone
(724) 825-1716
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT0000004948 TN Primary

Addresses

Primary practice location

1906 Greenland Way Apt 303
Knoxville, TN 37932-1835

Mailing address

1906 Greenland Way Apt 303
Knoxville, TN 37932-1835
Phone (724) 825-1716

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

State licenses

LicenseStateTypeSpecialty
OT0000004948TNMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1306235718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 GREENLAND WAY APT 303",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321835",
            "telephone_number": "724-825-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 GREENLAND WAY APT 303",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321835",
            "telephone_number": "724-825-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRAM",
        "first_name": "LYNDIE",
        "middle_name": "GRACE",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000004948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.