Active NPI
Smoky Mountain Occupational Therapy LLC
- Occupational Therapist
- Maryville, TN
National Provider Identifier
1407473259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- SMOKY MOUNTAIN OCCUPATIONAL THERAPY LLC
- Practice address
- 200 E Broadway Ave Ste 150
Maryville, TN 37804-5761 - Phone
- (865) 201-0213
- Fax
- (865) 500-3730
- NPI assigned
- Jun 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie T Williams, OTD OTRL
- Title
- Member Manager
- Phone
- (865) 201-0213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
200 E Broadway Ave Ste 150
Maryville, TN 37804-5761
Mailing address
200 E Broadway Ave Ste 150
Maryville, TN 37804-5761
Phone (865) 201-0213
National Provider Directory
National Provider DirectoryLocations
200 E Broadway Ave
Ste 150
Maryville, TN 37804
Phone (865) 201-0213
200 E Broadway Ave
Ste 200
Maryville, TN 37804
Phone (865) 238-5358
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Rockwood, TN
- NPI 1316713084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731369600000",
"number": "1407473259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E BROADWAY AVE STE 150",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045761",
"telephone_number": "865-201-0213",
"fax_number": "865-500-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E BROADWAY AVE STE 150",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045761",
"telephone_number": "865-201-0213",
"fax_number": "865-500-3730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMOKY MOUNTAIN OCCUPATIONAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-27",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JAMIE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "865-201-0213",
"authorized_official_credential": "OTD OTRL"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.