State of Tennessee
Organization Active NPI Occupational Therapist · Greeneville, TN
NPI 1477966976 · NPPES record last updated Jun 29, 2016
Key facts
- NPI
- 1477966976
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- STATE OF TENNESSEE
- Practice address
- 4850 E Andrew Johnson Hwy
Didd East TN Seating and Positioning Clinic
Greeneville, TN 37745-3098 - Phone
- (423) 787-6689
- NPI assigned
- Jun 3, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Lance Derek Iverson
- Title
- Deputy Commissioner
- Phone
- (615) 253-6710
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Trousdale County Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | Yes |
Addresses
Primary practice location
4850 E Andrew Johnson Hwy
Didd East TN Seating and Positioning Clinic
Greeneville, TN 37745-3098
Mailing address
400 Deaderick St
Citizens Plaza, 10TH Floor
Nashville, TN 37243-0001
Phone (615) 253-6710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q017827 | Medicaid | TN |
Other names
- Tennessee Department of Intellectual and Developmental Disabilities
Other providers in Greeneville, TN
- State of Tennessee
- State of Tennessee
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- State of Tennessee
- State of Tennessee
- State of Tennessee
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- State of Tennessee
- State of Tennessee
All providers in Greeneville, TN · Occupational Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.