Organization Active NPI

Cumberland Neuro Rehab Center

  • Occupational Therapist
  • Crossville, TN
National Provider Identifier
1396862090
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT0000000438 Issued in TN
Legal business name
CUMBERLAND NEURO REHAB CENTER
Practice address
3122 Miller Bypass
Suite a
Crossville, TN 38555
Phone
(931) 787-2700
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Don L Mathis
Title
Office Manager
Phone
(931) 787-2700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT0000004166 TN
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT0000000438 TN Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP0000002244 TN

Addresses

Primary practice location

3122 Miller Bypass
Suite a
Crossville, TN 38555

Mailing address

PO Box 904
Crossville, TN 38557-0904
Phone (931) 787-2700

National Provider Directory

National Provider Directory

Locations

3122 Miller Byp
Ste a
Crossville, TN 38555
Phone (931) 787-2700

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1396862090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 904",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385570904",
            "telephone_number": "931-787-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 MILLER BYPASS",
            "address_2": "SUITE A",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38555",
            "telephone_number": "931-787-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND NEURO REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-787-2700"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000004166",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000000438",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP0000002244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.