Individual provider Active NPI

Makayla Grace Choate, COTA/L

  • Occupational Therapy Assistant
  • Cookeville, TN
National Provider Identifier
1336796754
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
3332 Issued in TN
Practice address
370 S Lowe Ave
Cookeville, TN 38501-4730
Phone
(606) 224-6915
Fax
(931) 400-0726
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X 3332 TN Primary

Addresses

Primary practice location

370 S Lowe Ave
Cookeville, TN 38501-4730

Mailing address

2610 N York Hwy
Pall Mall, TN 38577-5201
Phone (931) 704-0949

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

State licenses

LicenseStateTypeSpecialty
3332TNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1336796754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 N YORK HWY",
            "city": "PALL MALL",
            "state": "TN",
            "postal_code": "385775201",
            "telephone_number": "931-704-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S LOWE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014730",
            "telephone_number": "606-224-6915",
            "fax_number": "931-400-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOATE",
        "first_name": "MAKAYLA",
        "middle_name": "GRACE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "3332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.