Tabitha Louise Mecklenborg, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3128 Issued in TN

Practice address

5321 Beverly Park Cir
Knoxville, TN 37918-9253

Phone

(865) 687-1321

NPI assigned

Mar 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552780800000",
    "number": "1487113759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 RALEIGH AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379173141",
            "telephone_number": "931-303-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 BEVERLY PARK CIR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379189253",
            "telephone_number": "865-687-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECKLENBORG",
        "first_name": "TABITHA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-17",
        "last_updated": "2019-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "3128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Thomas Meadows Jr., M.D.
• Michael L. Meadows, MD
• Charles Howard Means, DC
• George A Mears III, NP
• Michayla Grace Mears, RDN, LDN
• Medadvance PLLC
• Medex, Inc.
• Amanda Medford, RDH
• Medical Aesthetics & Regenerative Center
• Medical Interactive Education, LLC

• Occupational Therapy Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2019; 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.