Cynthia Colleen Ford, OTA
Individual provider Active NPI Occupational Therapy Assistant · La Follette, TN
NPI 1336095025 · NPPES record last updated Mar 6, 2026
Key facts
- NPI
- 1336095025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1135 (TN)
- Practice address
- 196 Sharp Cemetery LN
La Follette, TN 37766-5941 - Phone
- (423) 201-1529
- NPI assigned
- Mar 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1135 | TN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1135 | TN | Yes |
Addresses
Primary practice location
196 Sharp Cemetery LN
La Follette, TN 37766-5941
Mailing address
196 Sharp Cemetery LN
La Follette, TN 37766-5941
Phone (423) 201-1529
Other providers in La Follette, TN
- Fast Pace Medical Clinic PLLC
- Kristin E Faulkner
- Laura Nicole Feck
- Sarah Finley
- Shannon Maria Follett
- Justina Lynette Frost
- Schanda Fugate
- Kendra Skyler Gambill
- Kara Leigh Gansore
- Genesis Eldercare Physician Services LLC
All providers in La Follette, TN · Occupational Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.