Active NPI
Alice Patterson, O.T.
- Occupational Therapist
- Jackson, TN
National Provider Identifier
1457922395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6948
- Practice address
- 219 Stonebridge Blvd
Jackson, TN 38305-2040 - Phone
- (731) 661-9825
- Fax
- (731) 668-6757
- NPI assigned
- Jul 1, 2021
- Last updated
- Aug 10, 2023
- 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 | 6948 | TN | Primary |
Addresses
Primary practice location
219 Stonebridge Blvd
Jackson, TN 38305-2040
Mailing address
24 Physicians Dr
Jackson, TN 38305-2070
Phone (731) 410-2319
Other names 1
- Alice Graham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Capital Ave
Jackson, TN 38305-5507
Phone (731) 661-9825
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 73.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6948 | TN | MD | Clinical Social Worker |
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.
-
- Specialist
- Jackson, TN
- NPI 1831312461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1457922395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 PHYSICIANS DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052070",
"telephone_number": "731-410-2319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 STONEBRIDGE BLVD",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052040",
"telephone_number": "731-661-9825",
"fax_number": "731-668-6757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "ALICE",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2023-08-10",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "6948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICE",
"last_name": "GRAHAM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jackson, TN
- Pathways of Tennessee, Inc. (Pathways Behavioral Health Services)
- Pathways of Tennessee,Inc
- Patient Centered Physician's Care, P.C.
- Kimba Patrick
- Patterson Physical Therapy LLC
- Laura Elizabeth Patterson, P.T.
- Melanie Page Patterson, LPC-MHSP
- Ralph E Patterson, DO
- Darlene McDonald Patton, D.PH.
- Payne Chiropractic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.