Metta Devine-Qin

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7597 Issued in TN

Practice address

113 Cumberland Ave Ste 110
Madison, TN 37115-3339

Phone

(615) 596-1830

NPI assigned

Aug 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Colorado, LLCGroup PAC ID 0446641179, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation Colorado, LLC

  • Multi-Specialty Clinic/Center
  • Denver, CO
  • NPI 1063176493

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Ellenbecker and Borsellino PLLC

  • Speech-Language Pathologist
  • Madison, TN
  • NPI 1215499447
  NPD

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1316722671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CAMPBELL RD",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370724112",
            "telephone_number": "615-314-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CUMBERLAND AVE STE 110",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153339",
            "telephone_number": "615-596-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE-QIN",
        "first_name": "METTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelneccia Vontae Denman
• Andrew Scott Dennis, COTA
• Madison Denton
• Alescia Leann Devasher, CRNA, MS, APN
• Mary Elizabeth Devasher, CRNA,
• Dialysis Clinic Inc.
• Eduardo Edwin Diaz Jr., REGISTERED NURSE
• Monique Dickerson
• Jenna Digiammarino, M.A., CF-SLP
• Eireann Dillon

• Occupational Therapist in Madison, TN
• Providers in Madison, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.