Individual provider Active NPI

Vanessa Marie Sciotti, OTR/L, CIMI-2

  • Pediatric Occupational Therapist
  • Springfield, TN
National Provider Identifier
1316405780
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5711 Issued in TN
Practice address
514 S Brown St Ste 600
Springfield, TN 37172-2948
Phone
(615) 382-0500
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5711 TN Primary

Addresses

Primary practice location

514 S Brown St Ste 600
Springfield, TN 37172-2948

Mailing address

514 S Brown St Ste 600
Springfield, TN 37172-2948
Phone (615) 382-0500

Other names 1

  • Vanessa Marie Purdue Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Pediatric Therapy PastSince Oct 1, 2012 Accepting new patients
Springfield Pediatric Therapy Center PLLC Past Accepting new patients

Organizations & group practices 2

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1316405780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S BROWN ST STE 600",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722948",
            "telephone_number": "615-382-0500",
            "fax_number": "615-382-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S BROWN ST STE 600",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722948",
            "telephone_number": "615-382-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIOTTI",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "credential": "OTR/L, CIMI-2",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "5711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "PURDUE",
            "middle_name": "MARIE",
            "credential": "OTR/L, CIMI-2",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.