Active NPI
Amanda Ren'a Greene, OT
- Occupational Therapist
- Paris, TN
National Provider Identifier
1437225901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3629
- Practice address
- 800 Volunteer Dr
Paris, TN 38242-5472 - Phone
- (731) 642-2535
- NPI assigned
- Nov 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3629 | TN | Primary |
Addresses
Primary practice location
800 Volunteer Dr
Paris, TN 38242-5472
Mailing address
640 W Antioch Rd
Springville, TN 38256-4410
Phone (931) 624-5391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3629 | TN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Therapy Center LLC | Occupational Therapist | Current | Accepting new patients |
Locations
109 Commerce St
Paris, TN 38242
Phone (731) 336-7352
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437225901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 W ANTIOCH RD",
"city": "SPRINGVILLE",
"state": "TN",
"postal_code": "382564410",
"telephone_number": "931-624-5391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 VOLUNTEER DR",
"city": "PARIS",
"state": "TN",
"postal_code": "382425472",
"telephone_number": "731-642-2535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "AMANDA",
"middle_name": "REN'A",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "3629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paris, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.