Mary Gillispie, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5627 Issued in TN

Practice address

410 E Broad St
Suite G
Cookeville, TN 38501-4178

Phone

(615) 335-0347

NPI assigned

Mar 6, 2017

Last updated

Sep 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Hands Little Feet Pediatric Therapies, LLC

  • Early Intervention Provider Agency
  • Cookeville, TN
  • NPI 1780080077
  NPD (past)

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1396285664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E SPRING ST STE G",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E BROAD ST",
            "address_2": "SUITE G",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014178",
            "telephone_number": "615-335-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLISPIE",
        "first_name": "MARY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Anne Giddens, IBCLC, CLC
• Jason C Gilbert, FNP-BC
• Kurt Gilbert, M.D.
• Sidney Lee Gilbert Jr., DO
• Richard Dorsey Gillespie, LMFT
• Samuel M Glasgow III, MD
• Jeffrey J Gleason, MD
• Dana Godsey, PTA
• Laura Rene Goff, NP
• Jeff Michael Gold

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.